DR. ANNA MARIA MYKLEBUST MD NPI 1114956232

NPI Information

NPI: 1114956232
Provider Name: DR. ANNA MARIA MYKLEBUST, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
W8919 RIPLEY RD
P.O. 629
CAMBRIDGE, WI
ZIP 53523
Phone: (608) 423-7400
Get Directions

DR. Anna Maria Myklebust, MD is a diagnostic radiology radiology in Cambridge, WI with 39 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Anna Maria Myklebust, MD NPI is 1114956232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1985

The provider's business location address is:

W8919 RIPLEY RD
P.O. 629
CAMBRIDGE, WI
ZIP 53523-011
Phone: (608) 423-7400
Fax: (608) 423-7400

The NPI 1114956232 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 7/1/2006 and was last updated on 2/28/2015.

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	2085R0202X	Radiology	Diagnostic Radiology	51515	MINNESOTA	No
2	2085R0202X	Radiology	Diagnostic Radiology	38149	IOWA	No
3	2085R0202X	Radiology	Diagnostic Radiology	34650-020	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	300088211	OTHER	WISCONSIN	RAILROAD MEDICARE
2	391128616RU	OTHER	WISCONSIN	JOHN DEERE HEALTH PLAN
3	F43459	MEDICARE UPIN
4	3195200	MEDICAID	WISCONSIN
5	4873	OTHER	WISCONSIN	DEAN HEALTH INSURANCE

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »