Kathy M Vanbrunt, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0850003752 Issued in IL

Practice address

15 S Old Rand Rd
Lake Zurich, IL 60047-2313

Phone

(847) 438-2144

Fax

(847) 438-1597

NPI assigned

Sep 1, 2005

Last updated

Jul 8, 2007By 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

Other names 1

• Kathy M Wojcik Other name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathy.vanbrunt.p1@direct.gefcc.nextgenshare.com

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

• Global Care S.C.

  dba Illinois Cardiovascular Specialists

  • Interventional Cardiology Physician
  • Barrington, IL
  • NPI 1033309042
  NPD (past)
• Greater Family Health

  • Federally Qualified Health Center (FQHC)
  • Elgin, IL
  • NPI 1447381074
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467446732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S OLD RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S OLD RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472313",
            "telephone_number": "847-438-2144",
            "fax_number": "847-438-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRUNT",
        "first_name": "KATHY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "0850003752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "WOJCIK",
            "middle_name": "M",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• True Health
• True Heatlh Center
• Kellie L Truppa
• Amanda Jayne Udelhofen
• Jeffrey G Uhler, MD
• Lisa Vanerden, LCSW
• Claudia Vargas-Gatza, M.A.,CCC-SLP
• Nila T Vashi, PHARM D
• Vishnudivya Velupula, DO
• Village of Lake Zurich

• Medical Physician Assistant in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.