Active NPI
Ashley J Midtling, PA-C
- Physician Assistant
- Wauwatosa, WI
National Provider Identifier
1487050191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3445-23
- Practice address
- 201 N Mayfair Rd Ste 515
Wauwatosa, WI 53226-4216 - Phone
- (414) 727-0910
- Fax
- (414) 727-0920
- NPI assigned
- Nov 6, 2014
- 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 | 3445-23 | WI | Primary |
Addresses
Primary practice location
201 N Mayfair Rd Ste 515
Wauwatosa, WI 53226-4216
Mailing address
201 N Mayfair Rd Ste 515
Wauwatosa, WI 53226-4216
Phone (414) 727-0910
Other names 1
- Ashley J Covelli
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 |
|---|---|---|---|
| 3445-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapeutic Massage LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Milwaukee, WI
- NPI 1144994096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1487050191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD STE 515",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-727-0910",
"fax_number": "414-727-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD STE 515",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-727-0910",
"fax_number": "414-727-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDTLING",
"first_name": "ASHLEY",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3445-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "COVELLI",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wauwatosa, WI
- Michelle Schaf, LLC
- Stacy Hajinian Michels, D.D.S.
- Susanne Elisabeth Michelson
- Midland Health Testing Services Inc
- Midland Health Testing Services, Inc.
- Midwest Behavioral Consulting
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Pulmonary and Critical Care Associates
- Midwest Rehabilitation Associates, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.