AMIE JABANG (NPI# 1760946628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760946628 |
| Entity Type | Individual |
| Full Name | AMIE JABANG |
| Practice Address |
534 Aztalan Dr Madison WI 53718-3205 |
| Practice Telephone | 6084452399 |
| Mailing Telephone | 6084452399 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 24362030 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
534 AZTALAN DR |
| City | MADISON |
| State | WI |
| Zip Code | 53718-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
| 1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
| 1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
| 1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
| Find all providers in zip 53718 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780941740 | Nemil Ashvin Shah | General Practice | 101 Ivory Pl, Madison, AL 35758-2349 | 2012-04-16 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
| 1942517164 | Anne Elizabeth Bauer | General Practice | 102 Big Oak Cir, Madison, AL 35758-8324 | 2010-09-09 |
| 1710207923 | Fredrick Howard Bronson | General Practice | 13 Cherokee Cir, 102, Madison, WI 53704-8480 | 2010-06-10 |
| 1043351182 | Richard Lee Owens | General Practice | 1920 Monroe St, Madison, WI 53711-2027 | 2007-02-10 |
| 1184630592 | American Family Care Inc | General Practice | 7559 Hwy 72 W, Madison, AL 35758 | 2006-07-31 |
| 1174543516 | Karen B Duffy | General Practice | 1210 Briarville Road, Blding B, Madison, TN 37115 | 2006-07-20 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1487605432 | Luis R Rodriguez | General Practice | 102 Rockhaven Dr Nw, La Estancia, Hacienda San Jose, Madison, AL 35757-6973 | 2006-05-15 |
| 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.