TRISTIN A SUHONEN (NPI# 1720393689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720393689 |
Entity Type | Individual |
Full Name | TRISTIN A SUHONEN |
Credential | PA-C |
Practice Address |
2500 Overlook Ter Madison WI 53705-2254 |
Mailing Address |
2932 Barlow St Madison WI 53705-3502 |
Practice Telephone | 6082807003 |
Mailing Telephone | 2312152230 |
Enumeration Date | 2010-08-16 |
Last Update Date | 2010-08-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2573023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2500 OVERLOOK TER |
City | MADISON |
State | WI |
Zip Code | 53705-2254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104820448 | Diane Marie Conway | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2005-06-01 |
1124627310 | Aracely Becerra | Social Worker | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-20 |
1679172027 | Christopher James Dietzman | Podiatrist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-17 |
1265039846 | Kathryn Ann Jamieson | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-06 |
1538766720 | Kevin Charles Cannon | Physical Therapist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-01 |
1194330670 | Rikki Hanifin | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-11 |
1184238172 | Julia Grace Gilbertson | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
1073127072 | Mackenzie Betancur | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
1265043061 | Bradley John Rehrauer | Physical Medicine & Rehabilitation | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-14 |
1629688783 | Taylor Iverson | Registered Nurse | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
Find all providers in zip 53705 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962804211 | Miranda Street Sudduth | Physician Assistant | 1607 Doctors Drive, Madison, MS 39110 | 2014-09-18 |
1184944068 | Thomas Harvey Greene IIi | Physician Assistant | 248 Ne Hancock Ave, Madison, FL 32340-2560 | 2010-06-02 |
1699001735 | Chad Jamison Gilliam | Physician Assistant | 1230 Slaughter Rd Ste C, Madison, AL 35758-5901 | 2009-10-24 |
1679763700 | Tamara A Melone | Physician Assistant | 2802 International Lane, Madison, WI 53708-0017 | 2007-07-25 |
1932237138 | Craig Michael Roberts | Physician Assistant | 2631 Chamberlain Ave, Madison, WI 53705-3717 | 2007-03-01 |
1639234610 | Sally-ann P Johannsen | Physician Assistant | 717 Hidden Cave Rd, Madison, WI 53717-2755 | 2006-12-27 |
1023105467 | Nicole Anna Hanson | Physician Assistant | 1617 Sherman Avenue, Madison, WI 53708-0017 | 2006-10-06 |
1730137548 | Renee A Knutson | Physician Assistant | 38 Hidden Hollow Trl, Madison, WI 53717-2501 | 2006-05-04 |
1669439329 | Deanna J Nakada | Physician Assistant | 750 University Row, Madison, WI 53705-1311 | 2006-04-27 |
1326002213 | Angela K Vitcenda | Physician Assistant | 701 Dane Street, Madison, WI 53713 | 2006-04-17 |
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.