DR. ANNA MARIA MYKLEBUST (NPI# 1114956232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114956232 |
| Entity Type | Individual |
| Full Name | DR. ANNA MARIA MYKLEBUST |
| Other Name | DR. ANNA MARIA M. MYKLEBUST |
| Credential | MD |
| Practice Address |
W8919 Ripley Rd P.o. 629 Cambridge WI 53523-9011 |
| Practice Telephone | 6084237400 |
| Practice Fax Number | 6084237400 |
| Mailing Telephone | 6084237400 |
| Mailing Fax Number | 6084237400 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2015-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
38149 | IA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
51515 | MN | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34650-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | JOHN DEERE HEALTH PLAN | 391128616RU | 01 |
| WI | RAILROAD MEDICARE | 300088211 | 01 |
| WI | DEAN HEALTH INSURANCE | 4873 | 01 |
| WI | 3195200 | 05 |
| Street Address |
W8919 RIPLEY RD P.O. 629 |
| City | CAMBRIDGE |
| State | WI |
| Zip Code | 53523-9011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242440 | Lisa C Sperle | Registered Nurse | 228 A Main Street, Cambridge, WI 53523 | 2020-03-31 |
| 1144503715 | Jaime Lyn Klebig | Dentist | N4220 Woodcrest Ln., Cambridge, WI 53523 | 2011-09-21 |
| 1548556293 | Colleen A. Mitchell | Psychologist | 704 Katie Court, Cambridge, WI 53523 | 2011-06-21 |
| 1871745026 | Kathleen T. Mcginnity | Behavioral Analyst | 310 E. North St., Cambridge, WI 53523 | 2008-10-21 |
| 1306000435 | Bruce Ray Pett | Dentist | 113 Spring St, Cambridge, WI 53523 | 2008-07-17 |
| 1902851454 | Cambridge Area Ems | Ambulance | 205 W Main, Cambridge, WI 53523 | 2006-05-23 |
| 1114984580 | Diane E Campton | Registered Nurse | 1608 Hillside Road, Cambridge, WI 53523 | 2006-04-28 |
| 1639620040 | Nicholas Stephen Lapidakis-schrader | Specialist/Technologist | 209 East Main Street, Cambridge, WI 53523 | 2016-10-20 |
| 1104012285 | Katherine Anne Miles | Social Worker | 120 East Main St, Cambridge, WI 53523 | 2007-09-21 |
| 1780733071 | Clara Josephine Acker Bonney | Licensed Practical Nurse | 1608 Hillside Road, Cambridge, WI 53523 | 2007-01-09 |
| Find all providers in zip 53523 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578994711 | Oliphant Imaging and Consulting | Radiology | 13 Howland St, Cambridge, MA 02138-1919 | 2013-12-12 |
| 1144256645 | Southeastern Ohio Associated Radiology Inc | Radiology | 1341 Clark Street, Cambridge, OH 43725 | 2006-06-25 |
| 1831147941 | Wendelin S Hayes | Radiology | 400 Technology Square, Novartis Institute for Bio Medical Resea, Cambridge, MA 02139 | 2006-05-04 |
| 1033105754 | Donald Francis Romanelli | Radiology | 330 Mount Auburn Street, Mount Auburn Hospital, Cambridge, MA 02138 | 2005-09-27 |
| 1720411283 | Nicholas Howard Martin | Radiology | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2013-08-19 |
| 1326301235 | Jennifer Steinkeler | Radiology | 1493 Cambridge St, Cambridge, MA 02139 | 2012-06-18 |
| 1265793657 | Amy Chai-shine Tsai | Radiology | 1493 Cambridge St, Cambridge, MA 02139 | 2012-06-02 |
| 1952612046 | Javier Perez-rodriguez | Radiology | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2010-06-23 |
| 1245463934 | Karen L. Wallace | Radiology | 330 Mount Auburn St, Department of Radiology, Cambridge, MA 02138-5502 | 2009-08-27 |
| 1053580282 | Adam F Gustin | Radiology | 1493 Cambridge St, Radiology Department, Cambridge, MA 02139-1047 | 2008-02-21 |
| Find all providers in CAMBRIDGE | ||||
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| 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.