MARIAM N ALI-MUCHERU


Address: 4602 Eastpark Blvd, Madison, WI 53718-2002
Phone: 6084406300

MARIAM N ALI-MUCHERU (NPI# 1831509595) 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) 1831509595
Entity Type Individual
Full Name MARIAM N ALI-MUCHERU
Credential M.D.
Practice Address 4602 Eastpark Blvd
Madison
WI 53718-2002
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6084406300
Practice Fax Number 6082637652
Enumeration Date 2014-05-04
Last Update Date 2020-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 73067-20 WI Allopathic & Osteopathic Physicians
N 208600000X Surgery 51148 AZ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 Highland Ave, Madison, WI 537925452 6082637502 6082637652

Office Location

Street Address 4602 EASTPARK BLVD
City MADISON
State WI
Zip Code 53718-2002

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356847644 Laura K Krecko Surgery Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 2018-04-04
1447785332 Patrick Beard Schwartz Surgery Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 2017-04-27
1144648346 Juan Sebastian Danobeitia Surgery Uw Hospital and Clinics 600 Highland Ave H4, Madison, WI 53792-0001 2014-04-03
1023339496 Amir Ali Rahnemai Azar Surgery 3326 University Ave, Madison, WI 53705-2152 2010-06-18
1710132469 Veeraiah Siripurapu Surgery 1041 Balch Rd Ste 350, Madison, AL 35758 2008-11-21
1811140049 George Philip Steinmetz Jr. Surgery 2820 Marshall Court, #10, Madison, WI 53705-2270 2008-10-31
1164550448 Marc A Young Surgery 605 Yosemite Pl, Madison, WI 53705-2443 2007-03-01
1205856663 Arnulfo Abat Agbunag Surgery 1114 Gallatin Pike N, Madison, TN 37115-2738 2006-07-20
1811912488 Maureen A Kidd Surgery 1619 N Stoughton Rd, Madison, WI 53704-2603 2006-07-13
1558307157 Leon G Michl Surgery 1801 Clifty Dr, Madison, IN 47250-1627 2006-06-21
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Competitor

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City MADISON
Zip Code 53718

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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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