BETTY XIONG


Address: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 9209077000

BETTY XIONG (NPI# 1528519758) 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) 1528519758
Entity Type Individual
Full Name BETTY XIONG
Practice Address 210 Wisconsin American Dr
Fond Du Lac
WI 54937
Mailing Address 210 Wisconsin American Dr
Fond Du Lac
WI 54937-2999
Practice Telephone 9209077000
Practice Fax Number 9209077162
Mailing Telephone 9209077000
Mailing Fax Number 9209077162
Enumeration Date 2016-10-24
Last Update Date 2018-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3933-23 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 N Oak Ave, Marshfield, WI 544495703 7153875511 7153875240

Office Location

Street Address 210 WISCONSIN AMERICAN DR
City FOND DU LAC
State WI
Zip Code 54937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750374096 James A Avery Specialist 210 Wisconsin American Dr, Suite #265, Fond Du Lac, WI 54935-2999 2005-08-23
1326609306 Alicia Birschbach Physical Therapy Assistant 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2019-06-21
1437673217 Marina Dewhurst Physical Therapist 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2017-08-02
1255855045 Holly J Weiland Physical Medicine & Rehabilitation 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2017-08-02
1578014817 Carolyn V Essmann Social Worker 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2016-10-21
1598112963 Jennifer M Halbach Nurse Practitioner 210 Wisconsin American Dr, Fond Du Lac, WI 54937 2016-05-16
1356725543 Jolene K Oehlke Nurse Practitioner 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2015-07-17
1093104887 Adam P Whittington Dermatology 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2015-01-15
1548667231 Tanya Watry Physician Assistant 210 Wisconsin American Dr, Fond Du Lac, WI 54937 2014-11-25
1932512522 Brianna L Anderson Audiologist 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2014-06-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710523774 Lisa Diane Brown Social Worker W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 2019-11-25
1538700083 Kristine Karpen Technician 1812 Thurke Ave, North Fond Du Lac, WI 54937 2019-10-07
1962719245 James Hugh Rupple Ophthalmology W4410 Mary Hill Park, Fond Du Lac, WI 54937 2010-09-08
1467591131 Rosonna Sue Comers Social Worker N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 2007-02-06
1487731741 Daniel James Kierstead Optometrist 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 2006-11-01
1578813606 Joline Brotzman Nurse Practitioner 700 Park Ridge Ln, North Fond Du Lac, WI 54937 2012-09-17
1306085998 Forefront Dermatology, S.c. Dermatology 111 Wisconsin American Dr, Fond Du Lac, WI 54937 2009-02-05
1073665527 Optivision Eye Care LLP Eyewear Supplier (Equipment, not the service) 437 N Pioneer Rd, Fond Du Lac, WI 54937 2007-01-17
1588771778 Julie A Sheehan Family Medicine 700 Park Ridge Ln, North Fond Du Lac, WI 54937 2006-08-24
1134777352 Releve Physical Therapy LLC Physical Therapist 1909 Chapman Ave, N Fond Du Lac, WI 54937-1023 2019-08-30
Find all providers in zip 54937

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306473780 Samantha Jo Krones Physician Assistant 421 Camelot Dr, Fond Du Lac, WI 54935-8335 2020-03-25
1447739032 Kelsey R Renn Physician Assistant 430 E Division St, Fond Du Lac, WI 54935-4560 2018-08-14
1255823316 Teegan R Kraus Physician Assistant 420 E Division St, Fond Du Lac, WI 54935 2018-06-05
1720575749 Anna Clare Hang Physician Assistant 912 S Hickory St, Fond Du Lac, WI 54935-5530 2018-04-16
1679926596 Nicole A Merz Physician Assistant 912 S Hickory St, Fond Du Lac, WI 54935 2016-07-15
1942652466 Nicole K Stuckart Physician Assistant 430 E Division St, Fond Du Lac, WI 54935-4560 2016-07-08
1063884450 Alexander Engel Physician Assistant 145 N Main St, Fond Du Lac, WI 54935-3423 2015-10-23
1548667231 Tanya Watry Physician Assistant 210 Wisconsin American Dr, Fond Du Lac, WI 54937 2014-11-25
1326456807 Cynthia Nicole Wittwer Physician Assistant 430 E Division St, Fond Du Lac, WI 54935-4560 2014-07-28
1659786374 Marianna V Sieracki Physician Assistant 430 E Division St, Fond Du Lac, WI 54935-4560 2014-06-23
Find all providers in FOND DU LAC

Competitor

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City FOND DU LAC
Zip Code 54937

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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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