Mark a Midthun MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARK A MIDTHUN MD LLC

Practice address

3626 East Ave S Ste 2a
La Crosse, WI 54601-7221

Phone

(608) 778-1114

Fax

(608) 778-1147

NPI assigned

Sep 13, 2019

Last updated

Mar 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark A. Midthun, MDNPI 1487721791

Title

Psychiatrist

Phone

(608) 397-5904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Alan Midthun, M.D.

  • Psychiatry Physician
  • La Crosse, WI
  • NPI 1487721791
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1740830512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6602 SCHILLING RD UNIT C",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546509343",
            "telephone_number": "608-397-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 EAST AVE S STE 2A",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017221",
            "telephone_number": "608-778-1114",
            "fax_number": "608-778-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A MIDTHUN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "MIDTHUN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "608-397-5904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura K Marchiando, MD
• Richard J Marchiando, DO
• Titia Jo Marcou, BSW
• Kristen Marie Marin, LP
• David Edward Marinier, M.D.
• Megan Marks
• Rose Lynn Marks, NP
• Abby Markstrom
• Andrew Markworth
• Benjamin Markworth

• Psychiatry Physician in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.