DR. MATTHEW J. BOARDMAN (NPI# 1972738615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972738615 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW J. BOARDMAN |
| Credential | D.O. |
| Practice Address |
1821 S Stoughton Rd Madison WI 53716-2257 |
| Practice Telephone | 6082606000 |
| Practice Fax Number | 6082606699 |
| Mailing Telephone | 6082606000 |
| Mailing Fax Number | 6082606699 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 57622-021 | WI | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
57622-021 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1972738615 | 05 |
| Street Address |
1821 S STOUGHTON RD |
| City | MADISON |
| State | WI |
| Zip Code | 53716-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569024 | Amanda Jean Johnson | Physician Assistant | 1821 S Stoughton Rd, Dean Medical Center, Madison, WI 53716-2257 | 2005-09-21 |
| 1316544638 | Whitney M Wisecup | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2020-10-09 |
| 1063071157 | Kiley Dehaven | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2019-06-12 |
| 1013475656 | Shannon A Gedman | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2019-03-02 |
| 1295221059 | Emily Lyght | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716 | 2018-07-05 |
| 1497245674 | Julie J Empey | Dietitian, Registered | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2018-05-14 |
| 1184131864 | Heather E Solfelt | Dietitian, Registered | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2018-01-04 |
| 1508385519 | Jennifer D Foy | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716 | 2017-09-12 |
| 1336668276 | Teri L White | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2017-09-12 |
| 1457877284 | Jennifer L Wachholz | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2017-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
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| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932643392 | Institute for Hand and Arm Surgery | Orthopaedic Surgery | 345 Main St Ste 202, Madison, NJ 07940-2339 | 2016-12-05 |
| 1154664100 | Dayton M Opel | Orthopaedic Surgery | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2013-03-28 |
| 1194088567 | Kristin Tompkins Mizerik | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2012-06-20 |
| 1104881895 | Stefan V Zachary | Orthopaedic Surgery | 1 S Park St, Madison, WI 53715 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938463 | James L Knavel | Orthopaedic Surgery | 352 Peller Rd, Lake Geneva, WI 53147-4543 | 2006-07-21 |
| 1902850696 | Bone & Joint Clinic S.c. | Orthopaedic Surgery | 225000 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-19 |
| 1053310474 | David James Siverhus | Orthopaedic Surgery | 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 | 2005-07-18 |
| 1922453398 | Orthopaedic Centers of Wisconsin S.c. | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2016-05-04 |
| 1174977433 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 | 2016-04-22 |
| 1427476969 | Michael Derek Vaughn | Orthopaedic Surgery | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2014-04-02 |
| 1104262682 | Jasmine Bauknight | Orthopaedic Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2013-05-10 |
| 1881919892 | David William Meister | Orthopaedic Surgery | 525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024 | 2010-04-01 |
| 1013173384 | Scott Remo Murch | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2008-08-05 |
| 1346403482 | Leela D Farr | Orthopaedic Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2008-07-09 |
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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.