MARYLOU HAGEN (NPI# 1528029436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528029436 |
| Entity Type | Individual |
| Full Name | MARYLOU HAGEN |
| Credential | PA |
| Practice Address |
600 Highland Ave Madison WI 53792 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082659939 |
| Practice Fax Number | 6082659695 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2009-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1670 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 HIGHLAND AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141530 | Michael A Porte | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2005-06-01 |
| 1922606433 | Catherine Harnois | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2020-10-16 |
| 1265039812 | Sara Brown | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792-0001 | 2020-10-07 |
| 1063019602 | Angela Filauro Schroeder | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-10-06 |
| 1134736556 | Kelly A Kopecki | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-29 |
| 1699382051 | Megan Elizabeth Grassl | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-29 |
| 1568079234 | Michelle Catherine Sawaya | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-28 |
| 1417564113 | Megan Severa | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-26 |
| 1275140055 | Danielle Knox Alexander | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-25 |
| 1427665397 | Kristan O'toole | Dietitian, Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-25 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 53792 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306062 | Eugene Kenny IIi | Physician Assistant | 942 Hidden Cave Rd, Madison, WI 53717-2758 | 2006-04-18 |
| 1437782190 | Peter Erik Schaal | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-02-20 |
| 1194370445 | Leslie Ann Mei | Physician Assistant | 600 Highland Ave, Madison, WI 53792-1423 | 2019-08-05 |
| 1689228025 | Cate Cavanagh | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2019-07-24 |
| 1013560523 | Kristine Ann Beyer | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2019-07-23 |
| 1265909519 | Kayli Kuhl | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-10-25 |
| 1366923492 | Jennifer Elise Schmidt | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-08-27 |
| 1184104036 | Samantha Jo Hensen | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-08-20 |
| 1447730809 | John Daniel Beck | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-08-15 |
| 1669968186 | Janyne Rochelle Bolliger | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-07-09 |
| 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.