NESZTA WAHMHOFF (NPI# 1053542704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053542704 |
| Entity Type | Individual |
| Full Name | NESZTA WAHMHOFF |
| Credential | PAC |
| Practice Address |
4122 E Towne Blvd Madison WI 53704-3732 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082426855 |
| Practice Fax Number | 6082426848 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2464 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4122 E TOWNE BLVD |
| City | MADISON |
| State | WI |
| Zip Code | 53704-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902889140 | Robyn D Knudtson Manske | Nurse Practitioner | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2005-11-22 |
| 1760891378 | Kristina Marie Bennwitz | Pharmacist | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2014-08-07 |
| 1205114329 | Kelly A Lavin | Internal Medicine | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2011-07-22 |
| 1245525997 | Jacob Lauer | Obstetrics & Gynecology | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2011-06-10 |
| 1053601112 | Briana Leah Jelenc | Internal Medicine | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2011-04-11 |
| 1447455753 | Jacqueline O Peebles | Obstetrics & Gynecology | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2007-06-18 |
| 1023212073 | Cristina M Delgadillo | Pediatrics | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2007-06-13 |
| 1790801470 | Susan C Keniston | Nurse Practitioner | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2007-03-22 |
| 1861567406 | Sara Marie King | Pharmacist | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2006-11-21 |
| 1932270311 | Tiffany Buchholz | Physician Assistant | 4122 E Towne Blvd, Madison, WI 53704-3732 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962804211 | Miranda Street Sudduth | Physician Assistant | 1607 Doctors Drive, Madison, MS 39110 | 2014-09-18 |
| 1184944068 | Thomas Harvey Greene IIi | Physician Assistant | 248 Ne Hancock Ave, Madison, FL 32340-2560 | 2010-06-02 |
| 1699001735 | Chad Jamison Gilliam | Physician Assistant | 1230 Slaughter Rd Ste C, Madison, AL 35758-5901 | 2009-10-24 |
| 1679763700 | Tamara A Melone | Physician Assistant | 2802 International Lane, Madison, WI 53708-0017 | 2007-07-25 |
| 1932237138 | Craig Michael Roberts | Physician Assistant | 2631 Chamberlain Ave, Madison, WI 53705-3717 | 2007-03-01 |
| 1639234610 | Sally-ann P Johannsen | Physician Assistant | 717 Hidden Cave Rd, Madison, WI 53717-2755 | 2006-12-27 |
| 1023105467 | Nicole Anna Hanson | Physician Assistant | 1617 Sherman Avenue, Madison, WI 53708-0017 | 2006-10-06 |
| 1730137548 | Renee A Knutson | Physician Assistant | 38 Hidden Hollow Trl, Madison, WI 53717-2501 | 2006-05-04 |
| 1669439329 | Deanna J Nakada | Physician Assistant | 750 University Row, Madison, WI 53705-1311 | 2006-04-27 |
| 1326002213 | Angela K Vitcenda | Physician Assistant | 701 Dane Street, Madison, WI 53713 | 2006-04-17 |
| Find all providers in MADISON | ||||
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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.