MR. MICHAEL SCOTT CONGEMI


Address: W227s8885 Saint Joseph Dr, Big Bend, WI 53103-9709
Phone: 2626624993

MR. MICHAEL SCOTT CONGEMI (NPI# 1275766420) 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) 1275766420
Entity Type Individual
Full Name MR. MICHAEL SCOTT CONGEMI
Credential ACNP-BC
Practice Address W227s8885 Saint Joseph Dr
Big Bend
WI 53103-9709
Practice Telephone 2626624993
Mailing Telephone 2626624993
Enumeration Date 2009-09-03
Last Update Date 2009-09-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
3809-033 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address W227S8885 SAINT JOSEPH DR
City BIG BEND
State WI
Zip Code 53103-9709

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NPI Name Taxonomy Address Enumeration
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1487706057 Jerome Drugs Inc Pharmacy W230s8715 Clark St, Big Bend, WI 53103 2007-01-17
1073674560 James M Roadt Dentist W23657050 Big Bend Drive, Big Bend, WI 53103 2006-12-12
1205862133 Hammer Rehab & Fitness, Ltd Occupational Therapist W 231 S 7680 Big Bend Dr., Big Bend, WI 53103 2006-06-23
1861654113 Barbara Ann Prosen Physical Therapy Assistant W237s7855 Westwood Dr, Big Bend, WI 53103-9407 2008-06-27
1083962906 Kristi Lang Registered Nurse W228s9140 Putnam St, Big Bend, WI 53103-9414 2012-08-27
1427282839 Gina Marie Mullooly Anesthesiology W223s6915 Alameda Dr, Big Bend, WI 53103-9440 2009-05-13
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1720591035 Kelyn Marie Levy Nurse Practitioner 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 2017-11-08
1376087775 Connie Endvick Nurse Practitioner 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401-4123 2016-12-05
1538545728 Katherine Lee Alvarez Nurse Practitioner 3200 Pleasat Valley Road, West Bend, WI 53095-9274 2015-08-11
1821475120 Amin Namazi Nurse Practitioner 725 American Ave., Prohealth Care Waukesha Memorial Hospital, Waukesha, WI 53188-5099 2015-05-06
1356775183 Urvil M Patel Nurse Practitioner 4025 N 92 St., Wauwatosa, WI 53222 2013-08-28
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Competitor

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City BIG BEND
Zip Code 53103

Improve Information

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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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