Ketamine Milwaukee, Sc is a Multi-Specialty Clinic/Center (organization) practicing in Milwaukee, Wisconsin. The National Provider Identifier (NPI) is #1871318584, which was assigned on November 18, 2024, and the registration record was last updated on November 18, 2024. The practitioner's main practice location is at 10424 W Bluemound Rd, Milwaukee, WI 53226-4331; the contact telephone number is 4142061606. The primary taxonomy of Ketamine Milwaukee, Sc is Multi-Specialty Clinic/Center (261QM1300X), with specialization in Multi-Specialty. The authorized official for Ketamine Milwaukee, Sc is Dr. Kevin Kane (President).
| NPI | 1871318584 |
| Entity Type | Organization |
| Organization Name | KETAMINE MILWAUKEE, SC |
| Provider Name | KETAMINE MILWAUKEE, SC |
| Practice Address |
10424 W Bluemound Rd Milwaukee WI 53226-4331 |
| Practice Telephone | 4142061606 |
| Mailing Address |
2942 N Interlaken Dr Oconomowoc WI 53066-4910 |
| Mailing Telephone | 4142061606 |
| Certification Date | 2024-11-18 |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |
| Is Organization Subpart | N |
| Official Name | DR. KEVIN KANE |
| Official Title | PRESIDENT |
| Credential | MD |
| Telephone | 4142061606 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 207LP2900X | Anesthesiology | Pain Medicine | 193200000X MULTI-SPECIALTY GROUP | ||
| Y | 261QM1300X | Clinic/Center | Multi-Specialty | |||
| N | 363LF0000X | Nurse Practitioner | Family | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 193200000X MULTI-SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| Edelica | Doing Business As Name |
| Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
| Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| Classification | Anesthesiology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Psychiatric/Mental Health |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dynamic Training Xplosion LLC | 2119 Seven Oaks St Se, Lacey, WA 98503-3090 | Multi-Specialty Clinic/Center | 2024-12-11 |
| Mustafa Al-Ogaili | 9990 N Scottsdale Rd Apt 2010, Paradise Valley, AZ 85253-4502 | Multi-Specialty Clinic/Center | 2024-12-24 |
| Catalyst Community | 1900 D St, Bellingham, WA 98225-3249 | Multi-Specialty Clinic/Center | 2024-12-16 |
| Interamerican Health Solutions LLC | 10305 Nw 41st St Ste 126, Doral, FL 33178-2982 | Multi-Specialty Clinic/Center | 2024-12-06 |
| Main Street Clinic | 450 Morton Street, Elkhart, KS 67950 | Multi-Specialty Clinic/Center | 2024-12-13 |
| Advocate Health and Hospitals Corporation | 2210 W 95th St, Chicago, IL 60643-1002 | Multi-Specialty Clinic/Center | 2025-01-03 |
| Barrett Hospital Development Corporation | 3417 Busch St Ste A, Butte, MT 59701-3505 | Multi-Specialty Clinic/Center | 2025-01-06 |
| Neurogenic Medical Group LLC | 5135 Camino Al Norte Ste 210, North Las Vegas, NV 89031-2391 | Multi-Specialty Clinic/Center | 2024-12-30 |
| Vesper Health | 1772 W Mcdermott Dr, Allen, TX 75013-3342 | Multi-Specialty Clinic/Center | 2024-12-19 |
| Fleming Adult Health Np, PLLC | 1 Blue Hill Plz Ste 1509, Pearl River, NY 10965-3165 | Multi-Specialty Clinic/Center | 2025-01-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
2942 N INTERLAKEN DR |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-4910 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mark S Spankowski | 608 E. Summit Ave., Oconomowoc, WI 53066 | Optometrist | 2007-03-15 |
| Barbara Ann Larson | 1715 N Dousman Rd, Oconomowoc, WI 53066 | Physical Therapist | 2007-04-03 |
| Mark J Grevlich | N68w33420 Hwy K, Oconomowoc, WI 53066 | Dentist | 2008-06-02 |
| Oconomowoc Developmental Training Center of Wisconsin LLC | 36100 Genesee Lake School, Oconomowoc, WI 53066 | Emotionally Disturbed Childrens' Residential Treatment Facility | 2018-12-17 |
| Oconomowoc Community Services LLC | 36100 Genesee Lake Road, Oconomowoc, WI 53066 | Community/Behavioral Health Agency | 2007-03-19 |
| Jessica Sweeney | 1185 Corporate Center Drive, Oconomowoc, WI 53066 | Family Nurse Practitioner | 2021-05-12 |
| Ginny Dacquisto | 1134 Lily Rd, Oconomowoc, WI 53066 | Registered Dietitian | 2018-11-12 |
| Monica Rodriguez | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | Mental Health Counselor | 2015-01-06 |
| Paragon Industries Inc · Paragon Work Services | 1745 Executive Drive, Oconomowoc, WI 53066 | Community/Behavioral Health Agency | 2007-03-20 |
| Tina Marie Falkowski | N7706 Maple Ridge Road, Oconomowoc, WI 53066 | Licensed Practical Nurse | 2008-05-23 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Young Men's Christian Association of Metropolitan Milwaukee, Inc. | 161 West Wisconsin Avenue, Suite 4000, Milwaukee, WI 53203-2601 | Health Educator | 2018-06-06 |
| Jb Milwaukee Healthcare LLC · Milwaukee Estates Rehab & Care Center | 6800 N 76th St, Milwaukee, WI 53223-5002 | Skilled Nursing Facility | 2014-10-07 |
| County of Milwaukee · Milwaukee County Behavioral Health Community Support Program Downtown | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | Community/Behavioral Health Agency | 2008-05-27 |
| Milwaukee Health Care, LLC · Wellspring of Milwaukee | 9350 W Fond Du Lac Ave, Milwaukee, WI 53225-1714 | Skilled Nursing Facility | 2012-10-11 |
| County of Milwaukee · Milwaukee County Behavioral Health Pharmacy | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | Institutional Pharmacy | 2015-04-07 |
| County of Milwaukee · Milwaukee County Behavioral Health Community Support Program | 1220 W Vliet St Fl 3, Milwaukee, WI 53205-2117 | Community/Behavioral Health Agency | 2006-12-21 |
| County of Milwaukee · Milwaukee County Behavioral Health Adult Day Treatment | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | Clinic/Center | 2006-11-07 |
| Milwaukee Vamc · Milwaukee Va Clinic | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | VA Clinic/Center | 2015-10-13 |
| County of Milwaukee · Milwaukee County Behavioral Health Targeted Case Management | 1220 W Vliet St Fl 3, Milwaukee, WI 53205-2117 | Case Management Agency | 2006-11-07 |
| County of Milwaukee · Milwaukee County Behavioral Health Medical Associates | 1220 W Vliet St Fl 3, Milwaukee, WI 53205-2117 | Internal Medicine Physician | 2007-01-03 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |