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CARRIE THIESSEN MD PHD NPI 1467771055


NPI Information

NPI: 1467771055
Provider Name: CARRIE THIESSEN, MD, PHD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 263-1384
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Carrie Thiessen, MD, PHD is a transplant surgery in Madison, WI with 14 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee Carrie Thiessen, MD, PHD NPI is 1467771055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

600 HIGHLAND AVE
MADISON, WI
ZIP 53792-001
Phone: (608) 263-1384

The NPI 1467771055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2010 and was last updated on 2/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryA161353CALIFORNIANo
2208600000XSurgery75680WISCONSINNo
3204F00000XTransplant Surgery75680WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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