Individual provider Active NPI

Christine A Kenyon Laundre, M.D.

  • Anesthesiology Physician
  • Milwaukee, WI
National Provider Identifier
1023098654
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
53794-20 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy
Suite 453
Milwaukee, WI 53215-3669
Phone
(414) 385-2380
Fax
(414) 385-2382
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 47955 MN
Anesthesiology Physician 207L00000X 53794-20 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy
Suite 453
Milwaukee, WI 53215-3669

Mailing address

2801 W Kinnickinnic River Pkwy
Suite 453
Milwaukee, WI 53215-3669
Phone (414) 385-2380

Other identifiers 3

IdentifierTypeStateIssuer
314618900MedicaidMN
ENROLLEDMedicaidIA
35170100MedicaidWI

Other names 1

  • Christine A Kenyon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029001336 WI Practitioner - Anesthesiology 5991730293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Wisconsin School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Anesthesia SCGroup PAC ID 9032451737, 7 clinicians

Practice addresses (Care Compare)

10200 W Innovation Dr
Milwaukee, WI 53226-4825
Phone (414) 302-9196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Anesthesia, SC Anesthesiology CurrentSince Sep 15, 2019 Accepting new patients
Brookfield Anesthesiologists, S.C. Anesthesiology CurrentSince Sep 8, 2019 Accepting new patients
Chad Novasic PT LTD Past Accepting new patients

Locations

7401 104th Ave
Kenosha, WI 53142
Phone (262) 697-1006

Bin 88773
Milwaukee, WI 53288

10200 W Innovation Dr
Ste 700
Wauwatosa, WI 53226
Phone (414) 302-9196

10200 W Innovation Dr
Wauwatosa, WI 53226
Phone (414) 302-9196

2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1023098654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 453",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-385-2380",
            "fax_number": "414-385-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 453",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-385-2380",
            "fax_number": "414-385-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON LAUNDRE",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "47955",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "53794-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314618900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35170100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KENYON",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.