National Provider Identifier Database

ALYSSA S DEPPONG, PHYSICIAN ASSISTANT – NPI #1538721451
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

ALYSSA S DEPPONG, PHYSICIAN ASSISTANT
12500 AURORA DR
PLEASANT PRAIRIE, WI53158-1227
Phone: 262-857-5000
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for ALYSSA S DEPPONG

NPI Number 1538721451
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 07/01/2019
Last updated 12/05/2022 - About 3 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 4736-23
  • WI Medicaid: 100091500
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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