Linda S Wogahn, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1026 Issued in WI

Practice address

420 Dewey St
Wisconsin Rapids, WI 54494-4714

Phone

(715) 423-0122

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Linda S Welper Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1003021452
  Medicare reassignment
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1144272089
  NPD
• Aspirus Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Wausau, WI
  • NPI 1942084199
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821172958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944714",
            "telephone_number": "715-423-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGAHN",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "WELPER",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wisconsin Rapids Family Dental LLC
• Wisconsin Rapids Senior Living, Inc.
• Wisconsin River Orthopaedics, LTD.
• Christine R Witt, M.S., CCC-SLP
• WM R Christian DDS SC
• Timothy P Wogahn, MD
• Beth E Wojcik, OT
• Amanda Adeline Wonderly, O.D.
• Randall Keith Wood, D.D.S.
• Wound Healing on Wheels, LLC

• Physician Assistant in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.