The Kagen Allergy Clinic SC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

22210-20 Issued in WI

Legal business name

THE KAGEN ALLERGY CLINIC SC

Practice address

100 W Lawrence St
Appleton, WI 54911-5773

Phone

(920) 739-9100

Fax

(920) 739-8779

NPI assigned

May 18, 2012

Last updated

May 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven L Kagen, M.D.NPI 1235175589

Title

President

Phone

(920) 739-9100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven L Kagen, M.D.

  • Allergy Physician
  • Appleton, WI
  • NPI 1235175589
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1770843260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W LAWRENCE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115773",
            "telephone_number": "920-739-9100",
            "fax_number": "920-739-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAWRENCE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115773",
            "telephone_number": "920-739-9100",
            "fax_number": "920-739-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KAGEN ALLERGY CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "KAGEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-739-9100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": "22210-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tou Xiong Thao, PHARMD
• Yer Thao
• The Cervical Spine Institute and Neuromonitoring, LLC
• The Chiropractic Advantage LLC
• The Chiropractic Advantage LLC
• The Wellness Way Appleton
• Theda Care Peabody Manor
• Thedacare Aco, LLC
• Thedacare Inc (ThedaCare At Home - Flu Clinic)
• Thedacare Regional Medical Center - Appleton Inc. (ThedaCare Apothecary-Appleton)

• Allergy & Immunology Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Allergy & Immunology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.