Active NPI
Marie T Zeidler, PAC
- Physician Assistant
- Menomonee Falls, WI
National Provider Identifier
1003068495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 587-23
- Practice address
- W180N7950 Town Hall Rd
Menomonee Falls, WI 53051-4049 - Phone
- (262) 255-2500
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 587-23 | WI | Primary |
Addresses
Primary practice location
W180N7950 Town Hall Rd
Menomonee Falls, WI 53051-4049
Mailing address
W180N7950 Town Hall Rd
Menomonee Falls, WI 53051-4049
Phone (262) 255-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587-23 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1003068495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W180N7950 TOWN HALL RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530514049",
"telephone_number": "262-255-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W180N7950 TOWN HALL RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530514049",
"telephone_number": "262-255-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEIDLER",
"first_name": "MARIE",
"middle_name": "T",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "587-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.