MRS. ALICIA S KELCH (NPI# 1942452289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942452289 |
| Entity Type | Individual |
| Full Name | MRS. ALICIA S KELCH |
| Other Name | MS. ALICIA S VESPIGNANI |
| Credential | PA-C |
| Practice Address |
W156n9000 Pilgrim Rd Menomonee Falls WI 53051 |
| Mailing Address |
16505 W National Ave New Berlin WI 53151-5513 |
| Practice Telephone | 2625028752 |
| Practice Fax Number | 2625028756 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2367-23 | WI | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
236723 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2367-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA052264 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1942452289 | 05 | |
| WI | BLUE SHIELD | 1942452289 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16505 W. National Avene, New Berlin, WI 53151 | 2626412300 | |
| 200 S Emmber Ln, Milwaukee, WI 532332639 | 4149786603 | |
| 4700 N 132nd St, Butler, WI 530071603 | 2629573350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728155 | Alicia Kelch | Counselor | 6440 Dobbin Rd Ste D, Columbia, MD 21045-4770 | 2020-01-02 |
| Street Address |
W156N9000 PILGRIM RD |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194266783 | Kurt Hemmingsen | Occupational Therapist | W156n9000 Pilgrim Rd, Menomonee Falls, WI 53051-2272 | 2017-03-15 |
| 1003357005 | Dillon John Fasse | Specialist/Technologist | W156n9000 Pilgrim Rd, Menomonee Falls, WI 53051-2272 | 2017-03-10 |
| 1073845905 | Viet Vignieri | Physician Assistant | W156n9000 Pilgrim Rd, Menomonee Falls, WI 53051-2272 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255722153 | Katherine Shelley Cox | Physician Assistant | N91w15750 Falls Pkwy, Orthopaedic Sports and Spine Center, Menomonee Falls, WI 53051-2301 | 2015-02-12 |
| 1922067370 | James Edward Rayford Jr. | Physician Assistant | W180n8085 Town Hall Rd, Orthopaedic Surgery, Menomonee Falls, WI 53051-3518 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
Please comment or provide details below to improve the information on MRS. ALICIA S KELCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.