ELIZABETH A DIVYAK PA-C
NPI 1174710560
Physician Assistant in Madison, WI

Active since September 28, 2007
700 S PARK ST, MADISON, WI 53715(608) 251-6100(608) 258-6259 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth A Divyak Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A DIVYAK PA-C (NPI 1174710560) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (5122-23) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1174710560
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH A DIVYAKCredential: PA-C
Location Address700 S PARK STMadison, WI 53715-1830
Mailing Address700 S Park StMadison, WI 53715-1830 · (608) 251-6100 · Fax (608) 258-6259
Fax(608) 258-6259
Sole ProprietorNo
Enumeration DateSeptember 28, 2007
Last NPPES UpdateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
NPI 1174710560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 5122-23
Definition
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.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 3013-154 (WI)
700 S PARK ST, Madison, WI 53715

Other Identifiers 1

Medicaid1174710560WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
700 S PARK ST
MADISON, WI 53715
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Divyak's NPI number?

The NPI number for Elizabeth Divyak is 1174710560. It was assigned to this individual provider in the NPPES registry on September 28, 2007.

Where is Elizabeth Divyak located?

Elizabeth Divyak practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 251-6100.

What is Elizabeth Divyak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Divyak was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.