DR. MAYKONG LEEPALAO (NPI# 1033559588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033559588 |
| Entity Type | Individual |
| Full Name | DR. MAYKONG LEEPALAO |
| Credential | M.D. |
| Practice Address |
3301 Cranberry Blvd Weston WI 54476-5216 |
| Practice Telephone | 7153933900 |
| Mailing Telephone | 7153933900 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 62776 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3301 CRANBERRY BLVD |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982723 | Robin K. Henley | Family Medicine | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2005-06-16 |
| 1801315668 | Chibuzor Ihe | Pediatrics | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2017-09-13 |
| 1245781889 | Herbert A Nolan | Nurse Practitioner | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2016-10-19 |
| 1780067165 | Maribeth Beck | Nurse Practitioner | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2015-07-03 |
| 1508264839 | (alycea) Noel Pupp | Nurse Practitioner | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2014-12-19 |
| 1790108793 | Andrew Brown | Nurse Anesthetist, Certified Registered | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2014-01-27 |
| 1407284417 | Carina Lea Hafner | Occupational Therapist | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2013-10-30 |
| 1972843464 | Deborah Miller | Nurse Practitioner | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2013-02-21 |
| 1588900161 | Natasha Vanchinathan | Internal Medicine | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2012-12-30 |
| 1588949101 | Trisha Ann Everson | Physician Assistant | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2011-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174931463 | Jennifer Berry Matthesen | Surgery | 118 Good Hill Rd, Weston, CT 06883-2809 | 2014-07-30 |
| 1710233937 | Julie Ann Marie Van Koughnett | Surgery | 1494 Springside Dr, Weston, FL 33326-2742 | 2012-07-25 |
| 1942476056 | Ahmad Nejat | Surgery | 2576 Bay Pointe Dr, Weston, FL 33327-1421 | 2008-05-08 |
| 1164641486 | Menelaos A Aliapoulios | Surgery | 1 Cabin Rd, Weston, MA 02493-2301 | 2007-04-25 |
| 1366573206 | William Silen | Surgery | 710 Wellesley St, Weston, MA 02493-1000 | 2007-03-09 |
| 1326129271 | Shantanu G Basu | Surgery | 150 Concord Rd, Weston, MA 02493-1340 | 2006-10-18 |
| 1235115619 | Paula Elizabeth Galloway | Surgery | 66 Hospital Plz, Suite 102, Weston, WV 26452-8552 | 2005-12-19 |
| 1982229530 | Antonio Daniele Pinna | Surgery | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3625 | 2020-06-10 |
| 1801425392 | Luis Felipe De Almeida Okida | Surgery | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3625 | 2020-04-06 |
| 1821656232 | Shiksha Joshi | Surgery | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3625 | 2019-05-31 |
| Find all providers in WESTON | ||||
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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.