SUZANNAH BONG PA NPI 1780704510

NPI Information

  • NPI: 1780704510
  • Provider Name: SUZANNAH BONG, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: W180N8085 TOWN HALL RD
    CMH HEART AND VASCULAR CENTER
    MENOMONEE FALLS, WI
    ZIP 53051
  • Phone: (262) 532-1300

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NPI Details

Suzannah Bong, PA is a surgical physician assistant in Menomonee Falls, WI. Suzannah Bong, PA NPI is 1780704510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

W180N8085 TOWN HALL RD
CMH HEART AND VASCULAR CENTER
MENOMONEE FALLS, WI
ZIP 53051-518
Phone: (262) 532-1300

The NPI 1780704510 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 3/29/2007 and was last updated on 10/2/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780704510MEDICAIDWISCONSIN
241939700MEDICAIDWISCONSIN

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: 11/21/2025

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