Active NPI
Kathryn Wladischkin, MD
- Anesthesiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301100895
- Practice address
- 3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493 - Phone
- (616) 364-4200
- NPI assigned
- May 16, 2012
- Last updated
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01097745A | IN | |
| Anesthesiology Physician | 207L00000X | MD491986C | PA | |
| Anesthesiology Physician | 207L00000X | 14233-320 | WI | |
| Anesthesiology Physician | 207L00000X | C4690 | KY | |
| Anesthesiology Physician | 207L00000X | 4301100895 | MI | Primary |
| Anesthesiology Physician | 207L00000X | CDR.0005981 | CO |
Addresses
Primary practice location
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Mailing address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4280
Other practice location 1
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4280
Other practice location 2
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CO, IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-9000
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-6801
5900 Byron Ctr Ave SW
Metro Health Hospital
Wyoming, MI 49519-9606
Phone (616) 364-4200
80 68TH St SE
Spectrum Health South Pavilion
Grand Rapids, MI 49548-6980
Phone (616) 391-8220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0005981 | CO | MD | Anesthesiology Physician |
| 01097745A | IN | MD | Anesthesiology Physician |
| C4690 | KY | MD | Anesthesiology Physician |
| MD491986C | PA | MD | Anesthesiology Physician |
| 14233-320 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Anesthesia Medical Consultants, PC | Anesthesiology | Current | Accepting new patients |
| West Michigan Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Anesthesiology | Current | Accepting new patients |
| Sparrow Carson Hospital | Anesthesiology | Current | Accepting new patients |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Anesthesia Partners of Colorado | Anesthesiology | Current | Accepting new patients |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Association of Hospital Anesthesiologists SC | Anesthesiology | Current | Accepting new patients |
Locations
320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
8175 Reliable Pkwy
Chicago, IL 60686
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132
4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498
80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
736 Ford St
Kimberly, WI 54136
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
130 2nd St
#A107
Neenah, WI 54956
Organizations & group practices 17
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.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1063710689
-
dba University of Michigan Health-Sparrow
- Internal Medicine Physician
- Carson City, MI
- NPI 1598490542
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1225016926
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba Sparrow CRNA Services
- Anesthesiology Physician
- Lansing, MI
- NPI 1366498107
-
- Anesthesiology Physician
- Edwards, CO
- NPI 1457702409
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1376868372
-
dba University of Michigan Health-Sparrow Clinton
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
dba University of Michigan Health-Sparrow Clinton Hospital Emergency Depar
- Emergency Medicine Physician
- Saint Johns, MI
- NPI 1396827952
-
dba University of Michigan Health-Sparrow Charlotte Orthopedics
- Orthopaedic Surgery Physician
- Charlotte, MI
- NPI 1043419427
-
dba University of Michigan Health-Sparrow Eaton
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
dba Reid Health
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
dba Beaver Creek Medical Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Avon, CO
- NPI 1093361842
-
dba Shaw Cancer Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Edwards, CO
- NPI 1144876251
-
dba Precourt Healing Center
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1518226133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4280",
"fax_number": "734-936-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259493",
"telephone_number": "616-364-4200"
}
],
"practiceLocations": [
{
"address_1": "1500 E Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-936-4280",
"fax_number": "734-936-9091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Reid Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741157",
"country_code": "US",
"telephone_number": "765-935-8747",
"fax_number": "765-983-3023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WLADISCHKIN",
"first_name": "KATHRYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01097745A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD491986C",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "14233-320",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "C4690",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301100895",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "CDR.0005981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.