VIC LIENGSWANGWONG (NPI# 1851360796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851360796 |
| Entity Type | Individual |
| Full Name | VIC LIENGSWANGWONG |
| Credential | M.D. |
| Practice Address |
707 14th St Baraboo WI 53913-1539 |
| Practice Telephone | 6083561570 |
| Practice Fax Number | 6083561302 |
| Mailing Telephone | 6083561570 |
| Mailing Fax Number | 6083561302 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
63950-20 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
34883 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD MN | 69B76LI | 01 |
| MN | 095514100 | 05 | |
| MN | PREFERRED ONE | 1027665 | 01 |
| MN | MEDICA | 2400058 | 01 |
| MN | UCARE MN | 151702 | 01 |
| MN | HEALTHPARTNERS | HP32879 | 01 |
| MN | AMERICA'S PPO | 1296554 | 01 |
| WI | 34075000 | 05 |
| Street Address |
707 14TH ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641207 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2005-07-07 |
| 1265051205 | Deanna May Nault | Nurse Practitioner | 707 14th St, Baraboo, WI 53913-1597 | 2020-04-09 |
| 1588227367 | Karlie Wipperfurth | Occupational Therapist | 707 14th St, Baraboo, WI 53913-1539 | 2019-04-17 |
| 1164998225 | Cheyenne Pooler | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1597 | 2018-10-16 |
| 1548754526 | Paul Jest | Pharmacist | 707 14th St, Baraboo, WI 53913-1539 | 2018-06-21 |
| 1871978510 | Alison Allstadt | Audiologist | 707 14th St, Baraboo, WI 53913-1539 | 2015-07-23 |
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1760880322 | Kaylee Frazier | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2014-12-15 |
| 1477973873 | Elizabeth Kerrigan | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1539 | 2014-04-24 |
| 1356789077 | Mary Firari | Physician Assistant | 707 14th St, Baraboo, WI 53913-1539 | 2013-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477513299 | Vera B Nigrin | Radiology | 707 14th St, Baraboo, WI 53913-1539 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652510 | Sangjune Lee | Radiology | 710 Ridge St Apt 207, Madison, WI 53705-3641 | 2019-07-31 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1154651727 | Matthew Edward Witek | Radiology | 309 W Johnson St Apt 714, Madison, WI 53703-3553 | 2010-01-05 |
| 1558598441 | Eva Christensen | Radiology | 11516 N Port Washington Rd, Mequon, WI 53092-3441 | 2009-06-17 |
| 1265687024 | Marcia Js Richards | Radiology | 675 Park Cir, Elm Grove, WI 53122-2556 | 2008-11-20 |
| 1891888269 | Michael E Ray | Radiology | 900 E Grant, Appleton, WI 54911-3487 | 2006-09-30 |
| 1093759185 | Editha A Krueger | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2006-06-16 |
| 1336187251 | Laura B Ulmer | Radiology | 3809 Spring St, Racine, WI 53405-1667 | 2006-06-03 |
| 1558318782 | Linda Gemer | Radiology | 1277 Hickory Hill Dr, Green Bay, WI 54304-2363 | 2006-05-31 |
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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.