Andrew Mark Missett, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25659-020 Issued in WI

Practice address

3645 S 20TH St
Milwaukee, WI 53221-1510

Phone

(414) 332-9473

NPI assigned

May 7, 2007

Last updated

Feb 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1558574475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 S 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211510",
            "telephone_number": "414-332-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 S 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211510",
            "telephone_number": "414-332-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSETT",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "25659-020",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "146690-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pragnyadipta Mishra, M.D.
• Prateek Mishra, MD
• Luke Kosta Miskov, PA-C
• Suresh K Misra, MD
• Patricia L Missall, NP
• Missing Lynx LLC
• Mission Healthcare Services LLC
• Laurie Misslich
• Marilyn J. Misurek, MSN, APNP
• Sarah M Misustin, PA

• Pediatrics Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.