Thomas Lee Kintzinger, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25319-020 Issued in WI

Practice address

12550 W Moreland Rd # 67
Hayward, WI 54843-4525

Phone

(715) 462-3770

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ascension Medical Group-Fox Valley Wisconsin, Inc

  • Cardiovascular Disease Physician
  • Appleton, WI
  • NPI 1831890177
  NPD (past)
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588779441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "address_2": "12550W MORELAND ROAD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548430067",
            "telephone_number": "715-462-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 W MORELAND RD # 67",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548434525",
            "telephone_number": "715-462-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZINGER",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "25319-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31468500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David G Kelling, DC
• Alyson May Kelsey, PA-C, MED, LAT, ATC
• Constance M Kelsey, SLP
• Kathleen Ann Kephart
• Susan L Kettler, MSSW, LCSW
• Kellan Brett Klubben, MD
• Tracy Lynn Kocemba, OD
• Martha Krasean, RN, CNP
• Jessica Marie Kratz, PA-C
• Kelsey Kreyer, PHARMD

• Specialist in Hayward, WI
• Providers in Hayward, WI by specialty
• Specialist in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.