Provider Demographics
NPI:1356317424
Name:RANHEIM, CATHERINE ELAINE (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELAINE
Last Name:RANHEIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ELAINE
Other - Last Name:KOBBERVIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:202 S PARK ST
Mailing Address - Street 2:MERITER HOSPITAL
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1507
Mailing Address - Country:US
Mailing Address - Phone:608-417-6103
Mailing Address - Fax:608-417-5934
Practice Address - Street 1:202 SO PARK ST
Practice Address - Street 2:MERITER HOSPITAL
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715
Practice Address - Country:US
Practice Address - Phone:608-417-5695
Practice Address - Fax:608-417-5934
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42644207R00000X
WI42644-020208M00000X
WI42644-20208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34432800Medicaid
H96023Medicare UPIN
WI028G15875Medicare ID - Type Unspecified