Shannon Kane Rathke (NPI# 1891968616, PAC ID# 5890929996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1891968616 |
| PAC ID by PECOS | 5890929996 |
| Professional Enrollment ID | I20131003000112 |
| Full Name | Shannon Kane Rathke |
| Organization Legal Name | FOND DU LAC PATHOLOGY CONSULTANTS |
| Address |
430 E Division St Fond Du Lac WI 54935-4560 |
| Phone Number | 9209232650 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 9830132224 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520088 | ST AGNES HOSPITAL |
| 521321 | RIPON MEDICAL CENTER |
| 521327 | WAUPUN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 430 E Division St, Fond Du Lac, WI 54935-4560 | 9209232650 | FOND DU LAC PATHOLOGY CONSULTANTS |
| Organization Legal Name | FOND DU LAC PATHOLOGY CONSULTANTS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lifang Liu | Pathology | Fond Du Lac Pathology Consultants | 620 W Brown St, Waupun, WI 53963-1702 |
| Nidhi Kumar | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Jonathan Gedye | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Joan L Mueller | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Street Address |
430 E DIVISION ST |
| City | FOND DU LAC |
| State | WI |
| Zip | 54935-4560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahriar Alizadegan | Vascular Surgery | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Nidhi Kumar | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Jonathan Gedye | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Garry Jean Louis | Infectious Disease | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Marcio A Shiokawa | Internal Medicine | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Renae M Patrick | Nurse Practitioner | Lakeside Neurocare Limited | 430 E Division St, Fond Du Lac, WI 64935-4560 |
| Riyazuddin S Mogalai | Hospitalist | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Joan L Mueller | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| John M Mamalakis | Anesthesiology | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Germana Lm Silva | Anesthesiology | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Ruth A Adene- Peter | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nicole A Hostetler | Nurse Practitioner | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nydia C Ros | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Cynthia M Griffin | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kelly M Olsen | Certified Registered Nurse Anesthetist (crna) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Jennifer I Giesige | Psychiatry | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Abigail I Ruh | Psychologist, Clinical | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Michelle C Pesek Mccoy | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kristof T Gehrke | Critical Care (intensivists) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Find all physicians in zip 54935 | |||
| City | FOND DU LAC |
| Zip Code | 54935 |
| Specialty | PATHOLOGY |
| City + Specialty | FOND DU LAC + PATHOLOGY |
Please comment or provide details below to improve the information on Shannon Kane Rathke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.