TEA GIL KWON (NPI# 1760419956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760419956 |
| Entity Type | Individual |
| Full Name | TEA GIL KWON |
| Credential | M D |
| Practice Address |
301 Troy Dr Madison WI 53704-1521 |
| Mailing Address |
1634 Pond View Ct Middleton WI 53562-3789 |
| Practice Telephone | 6083011177 |
| Practice Fax Number | 6083011139 |
| Mailing Telephone | 6088366338 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
22429 | WI | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
22429 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33321000 | 05 |
| Street Address |
301 TROY DR |
| City | MADISON |
| State | WI |
| Zip Code | 53704-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629044797 | Michael T Witkovsky | Psychiatry & Neurology | 301 Troy Dr, Madison, WI 53704-1521 | 2006-02-27 |
| 1790311017 | Joshua Seth Camins | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2020-03-18 |
| 1316583909 | Thomas A Deboer | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2019-11-19 |
| 1811531155 | Kristin A Johnson | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2019-10-30 |
| 1861912958 | Emily Peissig | Counselor | 301 Troy Dr, Madison, WI 53704-1521 | 2017-06-21 |
| 1275083958 | Caroline Carr | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2016-10-06 |
| 1427429653 | Samantha Marsh | Pharmacist | 301 Troy Dr, Madison, WI 53704-1521 | 2015-10-14 |
| 1770840118 | Adrea Hahn Mcglynn | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2012-04-23 |
| 1861636672 | St. Charles Youth & Family Services | Clinic/Center | 301 Troy Dr, Cottage A, Madison, WI 53704-1521 | 2009-04-23 |
| 1063653954 | Michael J Vitacco | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2009-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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 |
|---|---|---|---|---|
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1548632656 | Linda Marie Brzustowicz | Psychiatry & Neurology | 40 Green Ave, Madison, NJ 07940-2532 | 2015-10-28 |
| 1740676519 | Gene Yang | Psychiatry & Neurology | 406 Science Dr Ste 110, Madison, WI 53711-1097 | 2015-04-08 |
| 1265844682 | Travis Gordon Kruger | Psychiatry & Neurology | 6001 Research Park Blvd., Wisconsin Psychiatric Institute & Clinics (wispic), Madison, WI 53719 | 2014-05-21 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
| 1477896595 | William Thomas Mckinney | Psychiatry & Neurology | 3660 Lake Mendota Dr, Madison, WI 53705-1475 | 2013-03-27 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
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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.