EBBA TINA HJERTSTEDT (NPI# 1467728527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467728527 |
| Entity Type | Individual |
| Full Name | EBBA TINA HJERTSTEDT |
| Credential | MD |
| Practice Address |
4602 Eastpark Blvd Madison WI 53718-2002 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082636400 |
| Mailing Telephone | 6088295485 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 61763 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 61763 | WI | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 61763 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 999 N 92nd St, Children's Corporate Center, Suite 430, Milwaukee, WI 532264875 | 4143377030 | |
| 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 4143377050 | 4143377020 |
| Street Address |
4602 EASTPARK BLVD |
| City | MADISON |
| State | WI |
| Zip Code | 53718-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619944238 | Douglas B Chapman | Internal Medicine | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2006-03-02 |
| 1790383321 | Kelli M Notaro | Nurse Practitioner | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-10-15 |
| 1346865581 | Bethany A. Meyering | Anesthesiologist Assistant | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-06-13 |
| 1831713726 | Rachael Makamae Maguire | Physical Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-06-05 |
| 1619590726 | Amanda S. Phillips | Psychologist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-05-22 |
| 1699301143 | Stephanie Chang | Pharmacist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-03-17 |
| 1154967123 | Bailey Elizabeth Higby | Nurse Practitioner | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-11-25 |
| 1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
| 1619524071 | Ella Cait Husom | Specialist/Technologist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-21 |
| 1386296853 | Olivia Rowland | Physical Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
| 1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
| 1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
| 1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
| Find all providers in zip 53718 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477896355 | James David Alstott | Hospitalist | 444 W Wilson St Apt 309, Madison, WI 53703-4024 | 2013-03-29 |
| 1255656013 | Hannah Irene Bell | Hospitalist | 1106 Wellesley Rd, Madison, WI 53705 | 2010-04-05 |
| 1285852889 | Brian Thomas Jubeck | Hospitalist | 1008 Beloit Ct, Madison, WI 53705-2233 | 2007-04-22 |
| 1699205831 | Alexandra A Wick | Hospitalist | 600 Highland Ave, Madison, WI 53792-0001 | 2017-06-19 |
| 1578091294 | Kyle Z Schmidt | Hospitalist | 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-24 |
| 1336675370 | Deval Patel | Hospitalist | 600 Highland Ave, Madison, WI 53792-1205 | 2017-05-11 |
| 1932634862 | Tyler D Will | Hospitalist | 600 Highland Ave, Madison, WI 53792-0001 | 2017-04-28 |
| 1760917520 | Sandip Biswas | Hospitalist | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2017-04-28 |
| 1972037141 | William Paul Jacoby | Hospitalist | 600 Highland Ave, Madison, WI 53792-1716 | 2017-04-14 |
| 1285097725 | Samuel Rotter | Hospitalist | 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-01 |
| Find all providers in MADISON | ||||
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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.