MADISON INTEGRATIVE MEDICINE ALLIANCE, INC (NPI# 1366568412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366568412 |
| Entity Type | Organization |
| Organization Name | MADISON INTEGRATIVE MEDICINE ALLIANCE, INC |
| Other Organization Name | BEIJING ACUPUNCTURE & CHINESE HERBAL MEDICINE |
| Practice Address |
6255 University Ave Suite 202 Middleton WI 53562-3485 |
| Practice Telephone | 6082383333 |
| Practice Fax Number | 6082383374 |
| Mailing Telephone | 6082383333 |
| Mailing Fax Number | 6082383374 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JONATHAN SONG (PRESIDENT) |
| Authorized Official Telephone | 6082383333 |
| Authorized Official Credential | OMD, MD, PHD, LA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 187 | WI | Other Service Providers |
| Y | 171100000X | Acupuncturist | 232 | WI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Beijing Acupuncture & Chinese Herbal Medicine | Other Name - Individual/Organization |
| Street Address |
6255 UNIVERSITY AVE SUITE 202 |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891961 | Alan Kalker | Podiatrist | 6255 University Ave, Suite 204, Middleton, WI 53562-3485 | 2005-12-13 |
| 1578890364 | Nancy C Gutknecht | Naturopath | 6255 University Ave, Middleton, WI 53562-3485 | 2009-11-16 |
| 1669629408 | Audra Marie Smith | Podiatrist | 6255 University Ave, Ste 204, Middleton, WI 53562-3485 | 2008-08-23 |
| 1992968093 | Elizabeth J Plovanich | Podiatrist | 6255 University Ave, Suite 204, Middleton, WI 53562-3485 | 2008-07-08 |
| 1730205584 | Leaf Ye Song | Acupuncturist | 6255 University Ave, Suite 202, Middleton, WI 53562-3485 | 2007-03-22 |
| 1336265495 | Jonathan Song | Acupuncturist | 6255 University Ave, Suite 202, Middleton, WI 53562-3485 | 2007-03-21 |
| 1689628802 | University Podiatry Associates, LLP | Podiatrist | 6255 University Ave, Suite 204, Middleton, WI 53562-3485 | 2006-05-20 |
| 1053381566 | Jill Migon | Podiatrist | 6255 University Ave, Suite 204, Middleton, WI 53562-3485 | 2006-01-25 |
| 1194700237 | John Alexander Finnell | Podiatrist | 6255 University Ave, Suite 204, Middleton, WI 53562-3485 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639587280 | Susi Hassert | Acupuncturist | 7507 Hubbard Ave, Suite 103, Middleton, WI 53562-3135 | 2014-07-28 |
| 1881928554 | Xilin Su | Acupuncturist | 6800 University Ave, Middleton, WI 53562-2766 | 2009-09-28 |
| 1174650733 | Masayuki Hamazaki | Acupuncturist | Japanese Acupuncture Clinic, 2 Central Street - #201, Middleton, MA 01949 | 2007-02-28 |
| 1376969022 | Acupuncture of New England, Inc. | Acupuncturist | 191 S Main St, Suite 107, Middleton, MA 01949-2514 | 2014-03-05 |
| 1164850483 | Miguel Cardenas | Acupuncturist | 6629 University Ave, Suite 101, Middleton, WI 53562-3037 | 2013-10-23 |
| 1912137373 | Heidi Marie Hughett | Acupuncturist | 191 S Main St, Suite 107, Middleton, MA 01949-2514 | 2009-07-20 |
| 1730205584 | Leaf Ye Song | Acupuncturist | 6255 University Ave, Suite 202, Middleton, WI 53562-3485 | 2007-03-22 |
| 1336265495 | Jonathan Song | Acupuncturist | 6255 University Ave, Suite 202, Middleton, WI 53562-3485 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304588 | Midwest Pain Treatment Center LLC | Acupuncturist | 3005 S Riverside Dr Ste 201, Beloit, WI 53511-1500 | 2020-10-23 |
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1235749573 | Alyssa Draeger | Acupuncturist | 880 S View Dr Ste 15231, Mosinee, WI 54455-8203 | 2020-08-02 |
| 1124642335 | Michael Ojer | Acupuncturist | 222 N Midvale Blvd Ste 1, Madison, WI 53705-5072 | 2020-06-03 |
| 1396368890 | Lara Michelle Patterson | Acupuncturist | 4010 Pleasant Ln, Mount Pleasant, WI 53405-4839 | 2020-05-19 |
| 1093346629 | Mary Ann Roeseler | Acupuncturist | 4027 S 2nd St, Milwaukee, WI 53207-4313 | 2020-02-02 |
| 1063043875 | Alexandra Modell | Acupuncturist | 5225 N Ironwood Rd Ste 102, Glendale, WI 53217-4909 | 2020-01-30 |
| 1225668833 | Louis Lei Jin | Acupuncturist | 11308 W Greenfield Ave Unit 1, Milwaukee, WI 53214-2246 | 2020-01-22 |
| 1275172819 | Oriental Wellness & Acupuncture LLC | Acupuncturist | 5944 Wakefield Ave, Mt Pleasant, WI 53406-5252 | 2019-12-30 |
| 1013555945 | Bertram M Schneider | Acupuncturist | 23 S Main St Ste P, Hartford, WI 53027-1867 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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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.