Susan G Kaz-Borgemoen, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

432 Issued in WI

Practice address

3402 Howland Avenue
Suite 100
Weston, WV 54476

Phone

(715) 355-5701

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan G Kaz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1144272089
  NPD (past)
• Aspirus Wausau Hospital Inc

  • Clinic/Center
  • Wausau, WI
  • NPI 1588994933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346357746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR",
            "address_2": "SUITE 303",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 HOWLAND AVENUE",
            "address_2": "SUITE 100",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "54476",
            "telephone_number": "715-355-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZ-BORGEMOEN",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40608500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KAZ",
            "middle_name": "G",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzan Johnson
• Tiffany Johnson
• Sandra Johnston
• Adrianna Michelle Jones
• Katherine Lynn Jones, PT ATC
• Ashleigh Marie Keator, DO
• Vicki Rose Keesecker
• Desiree Ann Keith
• Amber Nicole Kelly
• Bryanna Killian

• Occupational Therapy Assistant in Weston, WV
• Providers in Weston, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.