Individual provider Active NPI

Joanne Hoang

  • Anesthesiologist Assistant
  • Milwaukee, WI
National Provider Identifier
1720536873
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
2017021102 Issued in MO
Practice address
2323 N Lake Dr
Room W1094
Milwaukee, WI 53211-4508
Phone
(414) 291-1000
Fax
(414) 585-1125
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 86-017 WI
Anesthesiologist Assistant 367H00000X 2017021102 MO Primary

Addresses

Primary practice location

2323 N Lake Dr
Room W1094
Milwaukee, WI 53211-4508

Mailing address

9811 Eschweiler Dr
301
Wauwatosa, WI 53226-5503
Phone (303) 886-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161108000444 WI Practitioner - Anesthesiology Assistant 5193004521
I20171114002781 MO Practitioner - Anesthesiology Assistant 5193004521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Childrens Mercy HospitalGroup PAC ID 2466366026, 143 clinicians

Practice addresses (Care Compare)

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
2017021102MOMDAnesthesiologist Assistant
86-017WIMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Mercy Hospital CurrentSince Oct 24, 2022 Accepting new patients
The Children'S Mercy Hospital CurrentSince Oct 24, 2022 Accepting new patients
Northstar Anesthesia of Missouri, LLC CurrentSince May 1, 2019 Accepting new patients

Locations

203 W Road Mize Rd
Ste 218
Blue Springs, MO 64014
Phone (816) 874-4181

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1720536873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 ESCHWEILER DR",
            "address_2": "301",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532265503",
            "telephone_number": "303-886-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N LAKE DR",
            "address_2": "ROOM W1094",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114508",
            "telephone_number": "414-291-1000",
            "fax_number": "414-585-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "WI",
            "license": "86-017",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "MO",
            "license": "2017021102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.