MISS MONGTU THI NGO (NPI# 1124686514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124686514 |
| Entity Type | Individual |
| Full Name | MISS MONGTU THI NGO |
| Credential | PA-C |
| Practice Address |
1050 Division St Mauston WI 53948 |
| Mailing Address |
502 Grandwood Ct Apt 2 Madison WI 53714-1992 |
| Practice Telephone | 6088476161 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4928-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 916 W Trinity Ave Apt 8, Durham, NC 277011770 | 2486333177 |
| Street Address |
1050 DIVISION ST |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686006 | John M Murphy | Family Medicine | 1050 Division St, Mauston, WI 53948-1931 | 2005-06-01 |
| 1831708072 | Alyssa Patten | Physical Therapist | 1050 Division St, Mauston, WI 53948-1931 | 2020-07-23 |
| 1619500923 | Brooke Marie Benson | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2020-02-14 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| 1093357329 | Tacy Camenga | Physical Therapist | 1050 Division St, Mauston, WI 53948-1931 | 2019-10-08 |
| 1184270332 | Abigail Moring | Speech-Language Pathologist | 1050 Division St, Mauston, WI 53948-1931 | 2019-08-14 |
| 1548812985 | Ashlie Lynn Dushek | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-07-16 |
| 1609437854 | Erin E Hackett | Speech-Language Pathologist | 1050 Division St, Mauston, WI 53948-1931 | 2019-06-27 |
| 1225697766 | Jennifer Birdsey | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-06-09 |
| 1891353223 | Lauren Peterson | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1215092820 | Patrick Michael Mccormick | Dentist | 510 E State St, Mauston, WI 53948 | 2006-12-26 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1053876532 | Cassandra A Heideman | Counselor | 200 Hickory Street, Mauston, WI 53948 | 2019-02-08 |
| Find all providers in zip 53948 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1548812985 | Ashlie Lynn Dushek | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-07-16 |
| 1225697766 | Jennifer Birdsey | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 1336452440 | Katrina Nguyen Joski | Physician Assistant | 5040 W Ashland Way, Franklin, WI 53132-8177 | 2010-07-17 |
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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.