Julie M Mokhtar, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

36399-021 Issued in WI

Practice address

650 McMillen St
Fort Atkinson, WI 53538-1275

Phone

(920) 563-8900

Fax

(920) 563-0318

NPI assigned

Jul 21, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942221437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381275",
            "telephone_number": "920-563-8900",
            "fax_number": "920-563-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381275",
            "telephone_number": "920-563-8900",
            "fax_number": "920-563-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHTAR",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "36399-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30065800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Kaye Miles, RN
• Kayla Ann Miller, LCSW
• Kenneth Andrew Miller, MD
• Melissa Mary Miller, LPN
• Cheryl Lynn Mittelstedt, D.C.
• Lynn Patricia Morgan-Rueth, RN
• Clayborn J Morris, MD
• Kristin L Moseman, O.D.
• John Mayo Navine, RN
• Paul J Neary, MD

• Obstetrics & Gynecology Physician in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.