MARK ALAN MIDTHUN (NPI# 1487721791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487721791 |
| Entity Type | Individual |
| Full Name | MARK ALAN MIDTHUN |
| Credential | M.D. |
| Practice Address |
3626 East Ave S Ste 2a La Crosse WI 54601-7221 |
| Mailing Address |
W6602 Schilling Rd Unit C Onalaska WI 54650-9341 |
| Practice Telephone | 6087876411 |
| Practice Fax Number | 6087876414 |
| Mailing Telephone | 6083975904 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
49571 | MN | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
50549-020 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
3717 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
3626 EAST AVE S STE 2A |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-7221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830512 | Mark A Midthun Md LLC | Psychiatry & Neurology | 3626 East Ave S Ste 2a, La Crosse, WI 54601-7221 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881828846 | Coulee Region Psychiatric Services, S.c. | Psychiatry & Neurology | 3626 East Ave. So., Suite 2a, La Crosse, WI 54601-7211 | 2009-05-06 |
| 1518949122 | Gilda B Winter | Psychiatry & Neurology | 212 11th Street S, La Crosse, WI 54601-4116 | 2005-11-18 |
| 1740830512 | Mark A Midthun Md LLC | Psychiatry & Neurology | 3626 East Ave S Ste 2a, La Crosse, WI 54601-7221 | 2019-09-13 |
| 1447606025 | Kale Manuel | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2016-05-12 |
| 1922461813 | Jordan Daniel Urbanek | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2016-03-30 |
| 1538521117 | Erica L Burger | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2016-03-23 |
| 1710363890 | Sabrina Correa Da Costa | Psychiatry & Neurology | 700 West Ave S, La Crosse, WI 54601-4783 | 2015-07-30 |
| 1841606142 | Reka Furedi | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2014-07-08 |
| 1821364738 | Michelle Kathryn Heaton | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2012-03-25 |
| 1013208347 | Jared Matthew Gorsuch | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2011-04-20 |
| Find all providers in LA CROSSE | ||||
Please comment or provide details below to improve the information on MARK ALAN MIDTHUN.
| 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.