DR. ANDREW MYKYTSEY (NPI# 1750547378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750547378 |
| Entity Type | Individual |
| Full Name | DR. ANDREW MYKYTSEY |
| Credential | MD |
| Practice Address |
500 Wind Ridge Dr. Wausau WI 54401-4173 |
| Practice Telephone | 7158472611 |
| Mailing Telephone | 7158472611 |
| Mailing Fax Number | 7158472612 |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
54729-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
500 WIND RIDGE DR. |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215692 | Samer Jabbour | Internal Medicine | 500 Wind Ridge Dr., Wausau, WI 54401-4173 | 2005-06-20 |
| 1134130594 | Michael A Haase | Internal Medicine | 500 Wind Ridge Dr., Wausau, WI 54401-4173 | 2006-08-11 |
| 1891721601 | Jennifer S. Clark | Physician Assistant | 500 Wind Ridge Dr., Wausau, WI 54401-4173 | 2006-06-23 |
| 1497734750 | Kevin E Rist | Internal Medicine | 500 Wind Ridge Dr., Wausau, WI 54401-4173 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497734750 | Kevin E Rist | Internal Medicine | 500 Wind Ridge Dr., Wausau, WI 54401-4173 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427208099 | Afroz A Hai | Internal Medicine | 725 American Ave Ste 410, Prohealth Care Cardiology, Waukesha, WI 53188-5031 | 2008-09-19 |
| 1306018007 | Rashad H Khazi Syed | Internal Medicine | 2350 N Lake Drive, Suite 206, Csmcp Cardiac Rhythm Specialists, Milwaukee, WI 53211-2984 | 2008-04-02 |
| 1851493647 | Cardiac Rhythm Specialists Sc | Internal Medicine | 3805 Spring St, Suite 310, Racine, WI 53405-1667 | 2006-09-02 |
| 1588614937 | Stephen T Denker | Internal Medicine | 2025 W Oklahoma Avenue, Suite 102, Milwaukee, WI 53215-4455 | 2006-05-10 |
| 1235106089 | Vicken R Vorperian | Internal Medicine | 725 American Ave Suite 410, Prohealth Care Medical Associates Cardiology, Waukesha, WI 53188-5071 | 2006-03-01 |
| 1194721407 | Nguyen H Phan | Internal Medicine | 2350 N Lake Dr, Ste 206, Milwaukee, WI 53211-4528 | 2005-06-22 |
| 1821591710 | Phoenixc Healthcare, Sc | Internal Medicine | 6121 Green Bay Rd Ste 100, Kenosha, WI 53142-2931 | 2018-03-16 |
| 1083933170 | Bilal Omery | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2010-05-28 |
| 1962729517 | Jeremy J Zimmermann | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2010-04-22 |
| 1740511161 | Csm Community Physicians | Internal Medicine | 1414 N Taylor Dr, Sheboygan, WI 53081-1988 | 2010-01-25 |
| 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.