Michael Mahoney, B.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1407 Saint Andrew St Ste 100
La Crosse, WI 54603-2378

Phone

(715) 743-5410

NPI assigned

Apr 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1790929727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N11750 OWEN AVE",
            "city": "OWEN",
            "state": "WI",
            "postal_code": "544607917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032378",
            "telephone_number": "715-743-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "MICHAEL",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda J Madsen, MSW
• Kristen Magnus, MSW
• Benjamin James Mahaffey, DPT, MS
• Megan Kathleen Mahaffey, PT
• Lisa Joy Kelley Mahoney, PHARM.D.
• Briana Lee Mahowald, DPM
• Todd A Mahr, MD
• Chad D Mahutga
• Emily Mahutga, AA
• Courtney Jane Maire, DO

• Case Manager/Care Coordinator in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.