Active NPI
Melissa Drezdzon, MD
- Surgery Physician
- Milwaukee, WI
National Provider Identifier
1790246197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7778851
- Practice address
- 8701 Watertown Plank Road
Department of Surgery
Milwaukee, WI 53226 - Phone
- (414) 955-1833
- NPI assigned
- Mar 28, 2019
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 7778851 | WI | Primary |
Addresses
Primary practice location
8701 Watertown Plank Road
Department of Surgery
Milwaukee, WI 53226
Mailing address
8701 Watertown Plank Road
Department of Surgery
Milwaukee, WI 53226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7778851 | WI | MD | Surgery Physician |
Interoperability endpoints
- mdrezdzonmd307814@direct.froedtert.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1790246197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 WATERTOWN PLANK ROAD",
"address_2": "DEPARTMENT OF SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 WATERTOWN PLANK ROAD",
"address_2": "DEPARTMENT OF SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-955-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREZDZON",
"first_name": "MELISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "7778851",
"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 Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.