Kathleen Sue Blocher, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29956 Issued in WI

Practice address

W165N5595 Creekwood Xing
Menomonee Falls, WI 53051-0685

Phone

(262) 373-2600

NPI assigned

Aug 4, 2006

Last updated

Mar 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1285642314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W165N5595 CREEKWOOD XING",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530510685",
            "telephone_number": "262-373-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W165N5595 CREEKWOOD XING",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530510685",
            "telephone_number": "262-373-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCHER",
        "first_name": "KATHLEEN",
        "middle_name": "SUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "29956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Goeke Blackburn, PA-C
• Steve L Blackburn, MHA, MPAS, PA-C
• David Warren Blanchard, D.D.S.
• Ryan Blaney, PT, DPT
• Patricia Jean Blankenmeyer Kohl
• Melissa Block
• Nicholas Edward Blonien, D.O.
• Todd Boffeli, M.D.
• Lauren Marie Boldt, OTR
• Michelle Marie Bollig, OTR

• Internal Medicine Physician in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.