SUZANNAH BONG (PA) – Surgical Physician Assistant, NPI 1780704510

SUZANNAH BONG (PA) is a healthcare provider. based in Waukesha, Wisconsin. specializing in Surgical Physician Assistant. They hold the professional credentials PA. The NPI Number for SUZANNAH BONG (PA) is 1780704510

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNAH BONG (PA)
NPI
1780704510
Phone
(262) 532-5700
Address
2315 E Moreland Blvd
Enumeration Date
29 March 2007
Last Update Date
2 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7113941337
Group Practice PAC ID
5890604722
Professional Enrollment ID
I20070419000252
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for SUZANNAH BONG (PA)

  • 2315 E Moreland Blvd

    Waukesha, WI 531862939

    Phone: (262) 532-5700

    Fax: (262) 532-5701

    Type: Location

  • 16650 W Bluemound Rd Ste 200

    Brookfield, WI 530055959

    Phone: (262) 827-9200

    Fax: (262) 827-9858

    Type: Location

  • W180N8085 TOWN HALL RD

    CMH HEART AND VASCULAR CENTER

    MENOMONEE FALLS, WI 530513518

    Phone: (262) 532-1300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53186)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890604722View full group profile
NameSpecialtyState
DR. MARY GRACE HERNANDEZ LASQUETY (M.D.)
-WI
ERIC M DORN (M.D.)
Diagnostic RadiologyWI
JACK EDWARD MALONEY (MD)
D E R M A T O L O G YWI
CYNTHIA RICE (M.D.)
-WI
KELLY BAKER (PAC)
-WI
MARGARET H CARR (MD)
-WI
MICHAEL E KEEFE (MD)
H E M A T O L O G Y/ O N C O L O G YWI
TAMMY LYNN ALBELO (APNP)
-WI
LINDA BREMBERGER (APNP)
-WI
SANDRA A. BOERNER (APNP)
-WI

Reviews

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Frequently asked questions

What is the standard ID for SUZANNAH BONG (PA) in the U.S.?
In the U.S., SUZANNAH BONG (PA) is identified by NPI 1780704510.
Does the public listing show SUZANNAH BONG (PA) as active?
SUZANNAH BONG (PA)'s NPI record reflects an active status in NPPES.
What services align with SUZANNAH BONG (PA)'s listing?
SUZANNAH BONG (PA)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SUZANNAH BONG (PA)?
SUZANNAH BONG (PA) is associated with Waukesha, Wisconsin in the same public data insurers reference.
Why is information missing for SUZANNAH BONG (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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