MS. MARIA L THEISEN PA NPI 1962458158

NPI Information

NPI: 1962458158
Provider Name: MS. MARIA L THEISEN, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
9000 W WISCONSIN AVE
PEDIATRIC PLASTIC SURGERY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-2876
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MS. Maria L Theisen, PA is a surgical physician assistant in Milwaukee, WI. MS. Maria L Theisen, PA NPI is 1962458158. 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:

9000 W WISCONSIN AVE
PEDIATRIC PLASTIC SURGERY
MILWAUKEE, WI
ZIP 53226-874
Phone: (414) 266-2876
Fax: (414) 266-2957

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/9/2014.

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
1	363AS0400X	Physician Assistant	Surgical	1200	WISCONSIN	Yes

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
1	680860755	MEDICARE PIN	WISCONSIN
2	008000261F	OTHER		HUMANA
3	1962458158	MEDICAID	WISCONSIN
4	S84047	MEDICARE UPIN
5	736012009	MEDICARE PIN	WISCONSIN

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

NPI Synchronization or Removal

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