Lauren Michelle Mixtacki (NPI# 1790171254, PAC ID# 7911278346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790171254 |
| PAC ID by PECOS | 7911278346 |
| Professional Enrollment ID | I20180918003542 |
| Full Name | Lauren Michelle Mixtacki |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Address |
2651 Windsor St Sun Prairie WI 53590-9825 |
| Phone Number | 6088372206 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608785464 |
| Number of Group Practice Members | 1845 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 202 S Park St, Madison, WI 53715-1507 | 6082872050 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 2651 Windsor St, Sun Prairie, WI 53590-9825 | 6088372206 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Physicians | 1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Nowak | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Ronak Mehta | Family Medicine | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Kimberly E Daniel | Gastroenterology | University of Wisconsin Medical Foundation Inc | 750 University Row, Madison, WI 53705-1311 |
| James D Thompson | Otolaryngology | University of Wisconsin Medical Foundation Inc | 600 Highland Ave, Madison, WI 53792-0001 |
| Katherine A Mccreary | Family Medicine | University of Wisconsin Medical Foundation Inc | 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 |
| Adam James Blanchard | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Emily J Staudt | Physician Assistant | University of Wisconsin Medical Foundation Inc | 4131 Meridian Dr, Windsor, WI 53598-9699 |
| Muhammad S Karim | Nephrology | University of Wisconsin Medical Foundation Inc | 4600 American Pkwy, Suite 108, Madison, WI 53718-8337 |
| Gillian I Silberzahn | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5115 N Biltmore Ln, Madison, WI 53718-2161 |
| Sara E Odonnell | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5618 Odana Rd, Madison, WI 53719-1208 |
| Street Address |
2651 WINDSOR ST |
| City | SUN PRAIRIE |
| State | WI |
| Zip | 53590-9825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley A Coert | Family Medicine | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| Arnold Wald | Gastroenterology | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| Edwin Abel | Urology | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| Charlotte Owens Ladd | Psychiatry | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| John G Hawkins | Family Medicine | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| Nancy S Fuller | Internal Medicine | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| Sarina B Schrager | Family Medicine | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| Laura P Van Roo | Physician Assistant | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| David W Queoff | Family Medicine | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| David F Schneider | General Surgery | University of Wisconsin Medical Foundation Inc | 2651 Windsor St, Sun Prairie, WI 53590-9825 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Groehler | Optometry | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Melissa M Terrill | Optometry | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Maria C Graf | Psychologist, Clinical | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Sarah A Oliver | Physician Assistant | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Joanne L Taylor | Pediatric Medicine | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Leo A Schug | Internal Medicine | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Cassie J Kolstad | Physician Assistant | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Diana V Flint | Family Medicine | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Kate M Blank | Physician Assistant | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Stephanie M Johnson | Nurse Practitioner | Dean Health Systems Inc | 10 Tower Dr, Sun Prairie, WI 53590-1239 |
| Find all physicians in zip 53590 | |||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SUN PRAIRIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lauren Michelle Mixtacki.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.