Kathleen Sue Blocher, M.D.

Key facts

NPI

1285642314

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

29956 (WI)

Practice address

W165N5595 Creekwood Xing
Menomonee Falls, WI 53051-0685

Phone

(262) 373-2600

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2011.

{
    "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": []
}

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All providers in Menomonee Falls, WI · Internal Medicine Physician in Wisconsin