MARIA A PARK


Address: 9000 W Wisconsin Ave, Pediatric Otolaryngology, Milwaukee, WI 53226-4874
Phone: 4142666460

MARIA A PARK (NPI# 1104263979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104263979
Entity Type Individual
Full Name MARIA A PARK
Credential P.A.
Practice Address 9000 W Wisconsin Ave
Pediatric Otolaryngology
Milwaukee
WI 53226-4874
Practice Telephone 4142666460
Practice Fax Number 4142662693
Mailing Telephone 4142666460
Mailing Fax Number 4142662693
Enumeration Date 2013-06-03
Last Update Date 2017-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 3119-23 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
3119-23 WI Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3119-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1104263979 05

Other Providers MARIA PARK

NPI Name Taxonomy Address Enumeration
1669974150 Maria Park Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Pediatrics Walter Reed National Military Medical Center, Bethesda, MD 20889 2018-03-01

Office Location

Street Address 9000 W WISCONSIN AVE
PEDIATRIC OTOLARYNGOLOGY
City MILWAUKEE
State WI
Zip Code 53226-4874

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568466928 Deborah Costakos Ophthalmology 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 2005-06-13
1477154748 Tara Anne Peloza Registered Nurse 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-11-04
1518567676 Carolyn Mcnally Scoptur Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-10-28
1053910091 Casey Wolter Audiologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-10-21
1558976001 Rachel Sawdy Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-11
1205441128 Kathleen Maloney Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-09
1992319065 Mariia Steffeny Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-04
1871106575 Elisabeth Mary Vogt Clinical Neuropsychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-08-24
1912517277 Theresa Lauer Kapke Psychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-08-03
1003425380 Khira Ahmed-yahia Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093348542 Christopher Sean Lanctin Physician Assistant 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 2020-02-12
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1194956417 Jessica Dawn Hagen Physician Assistant 5330 W. Villard Avenue, Milwaukee, WI 53218 2009-08-04
1245335868 Mary Laan Physician Assistant 8901 N. 76th Street, Milwaukee, WI 53223 2006-09-14
1326081316 Therese Ann Johnson Physician Assistant 3267 S 16th Street, Ems Office, Milwaukee, WI 53215 2006-06-14
1386686905 Irum Ziauddin Physician Assistant 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 2006-06-11
1528054897 Nicole Meyer Papermaster Physician Assistant 342 N Water St Ste 600, Milwaukee, WI 53202-5715 2005-09-22
1285232793 Trina Kessel Physician Assistant 5000 W National Ave, Milwaukee, WI 53295-0001 2020-10-16
1124641113 Emily Rose Johnson Physician Assistant 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2020-05-25
1487273561 Savannah Mathe Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-04-09
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Competitor

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City MILWAUKEE
Zip Code 53226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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