Individual provider Active NPI

Kimberly S. Straub, MD

  • Family Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1124098116
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52895-20 Issued in WI
Practice address
1320 W Clairemont Ave
Suite 118
Eau Claire, WI 54701-4566
Phone
(715) 834-1555
Fax
(715) 835-0263
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52895-20 WI Primary
Hospitalist Physician 208M00000X 52895-20 WI
Family Medicine Physician 207Q00000X 38926 MN

Addresses

Primary practice location

1320 W Clairemont Ave
Suite 118
Eau Claire, WI 54701-4566

Mailing address

1320 W Clairemont Ave
Suite 118
Eau Claire, WI 54701-4566
Phone (715) 834-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52895-20WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Jul 26, 2016 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Apr 30, 2003 Accepting new patients

Locations

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1124098116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W CLAIREMONT AVE",
            "address_2": "SUITE 118",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014566",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W CLAIREMONT AVE",
            "address_2": "SUITE 118",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014566",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52895-20",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "52895-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "38926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.