DR. STEPHANIE SUPRENANT (NPI# 1508122938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508122938 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE SUPRENANT |
| Other Name | STEPHANIE RENEE SUPRENANT |
| Credential | M.D. |
| Practice Address |
Uw Hospital and Clinics 600 Highland Ave H4/831 Madison WI 53792-0001 |
| Mailing Address |
600 Highland Ave H4/831 Csc Madison WI 53792-0001 |
| Practice Telephone | 6082631367 |
| Mailing Telephone | 6088905999 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 62485 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
UW HOSPITAL AND CLINICS 600 HIGHLAND AVE H4/831 |
| City | MADISON |
| State | WI |
| Zip Code | 53792-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366087587 | Benjamin Schessler | Anesthesiology | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2019-11-12 |
| 1962964536 | Kyu Hyung Lee | Student in an Organized Health Care Education/Training Program | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2019-04-03 |
| 1629563622 | Lin Zhao | Anesthesiology | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2018-06-22 |
| 1548757925 | Shiri Gabriella Raphaely | Student in an Organized Health Care Education/Training Program | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-20 |
| 1841787629 | Emily Owen | Internal Medicine | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-17 |
| 1568969400 | Madison Elizabeth Tustian | Student in an Organized Health Care Education/Training Program | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-08 |
| 1518463124 | David Eduardo Newlan De La Cruz | Student in an Organized Health Care Education/Training Program | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-03 |
| 1205364171 | Melissa Faye Meyer | Student in an Organized Health Care Education/Training Program | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-23 |
| 1598290272 | Scott Charles Mauch | Radiology | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-01 |
| 1780048959 | Natalie Liu | Surgery | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1700334745 | Krista Lee Rieger | Pharmacist | 600 Higland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2016-09-20 |
| 1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1417363888 | Jenna Bender | Pharmacist | 600 Highland Avenue, 1530, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2014-07-07 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821351107 | Sana L Bhatti | Plastic Surgery | 7730 Old Canton Rd Bldg A, Madison, MS 39110-9299 | 2012-06-21 |
| 1639320864 | Mississippi Premier Plastic Surgery, Pllc | Plastic Surgery | 160 Fountains Blvd, Suite B, Madison, MS 39110-4643 | 2008-10-07 |
| 1285642595 | Leon A Goldstein | Plastic Surgery | 141 Durham Rd Ste 23, Madison, CT 06443-2658 | 2006-08-03 |
| 1689615486 | Somprasong Songcharoen | Plastic Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110 | 2006-06-10 |
| 1225023906 | Amorn Neil Salyapongse | Plastic Surgery | 1 S Park St, Division of Hand Surgery, Madison, WI 53715-1375 | 2005-09-19 |
| 1437783131 | Megan Perinovic | Plastic Surgery | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-03 |
| 1710478573 | Ethan Laghi Mackenzie | Plastic Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2018-05-28 |
| 1134654924 | Jacob Michael Marks | Plastic Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-04-28 |
| 1831552041 | Carol Elaine Soteropulos | Plastic Surgery | Uw Hospitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2016-04-04 |
| 1427411818 | Elizabeth R Zielins | Plastic Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-01 |
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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.