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KELLY A ISHERWOOD PA-C NPI 1043312937


NPI Information

NPI: 1043312937
Provider Name: KELLY A ISHERWOOD, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
2350 N LAKE DR
SUITE 206
MILWAUKEE, WI
ZIP 53211
Phone: (414) 298-7280
Get Directions

Kelly A Isherwood, PA-C is a physician assistant in Milwaukee, WI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Kelly A Isherwood, PA-C NPI is 1043312937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2350 N LAKE DR
SUITE 206
MILWAUKEE, WI
ZIP 53211-528
Phone: (414) 298-7280
Fax: (414) 298-7281

The enumeration date for this NPI number is 9/2/2006 and was last updated on 11/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant1675-023WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000002525-0360MEDICARE PIN
2P00794219MEDICARE PIN
3Q08395MEDICARE UPIN
4000002535-0002MEDICARE ID-TYPE UNSPECIFIEDMILWAUKEE COUNTY
5000052075-0002MEDICARE ID-TYPE UNSPECIFIEDRACINE COUNTY
642866700OTHERWISCONSINHIRSP
742866700OTHERWISCONSINWPS GAMP
8000060295-0002MEDICARE ID-TYPE UNSPECIFIEDSHEBOY & OSH COUNTIES
9000060295-0005MEDICARE PINWISCONSIN
1042866700MEDICAIDWISCONSIN
11WI1634-003MEDICARE PIN
1242866700OTHERWISCONSINNETWORK HEALTH - T19
1342866700OTHERWISCONSINUHC-T19
1442866700OTHERMANAGED HEALTH SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.