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SUZANNAH BONG PA
NPI 1780704510
Physician Assistant - Surgical in Menomonee Falls, WI

Active since March 29, 2007PECOS Enrolled
W180N8085 TOWN HALL RD, CMH HEART AND VASCULAR CENTER, MENOMONEE FALLS, WI 53051(262) 532-1300 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2018, Aug 19, 2016 (2 updates tracked since 2016).

About Suzannah Bong Pa NPPES

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

SUZANNAH BONG PA (NPI 1780704510) is an individual surgical provider in Menomonee Falls, Wisconsin and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780704510
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSUZANNAH BONGCredential: PA
Location AddressW180N8085 TOWN HALL RD, CMH HEART AND VASCULAR CENTERMenomonee Falls, WI 53051-3518
Mailing AddressW180n8085 Town Hall Rd, Cmh Heart And Vascular CenterMenomonee Falls, WI 53051-3518 · (262) 532-1300
Phone(262) 532-1300
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateOctober 2, 20182 updates tracked since enumeration
✔ NPI 1780704510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
W180N8085 TOWN HALL RD, Menomonee Falls, WI 53051
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Secondary Practice Locations 2

Location 116650 W Bluemound Rd Ste 200Brookfield, WI 53005-5959 · Phone (262) 827-9200 · Fax (262) 827-9858
Location 22315 E Moreland BlvdWaukesha, WI 53186-2939 · Phone (262) 532-5700 · Fax (262) 532-5701

Other Identifiers 2

Medicaid1780704510WI
Medicaid41939700WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzannah Bong Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

FORWARD ORTHOPEDICS, S.C.
Orthopaedic Surgery
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5860
MS. JOAN M. ANDERSON FNP
Nurse Practitioner (Family)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5000
MR. PHILIP Y HSU RPH. MBA
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
KAREN JEAN KUCHAR RPH
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
MR. ERIC J BACHAR R.PH.
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
MS. TERRY LEE AUDLEY RPH
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3077
MARK LABOTT RPH
Pharmacist
W180N8085 TOWN HALL RD, PHARMACY
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
MRS. AMY L GORGEN RPH
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070

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 Suzannah Bong's NPI number?

The NPI number for Suzannah Bong is 1780704510. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Suzannah Bong located?

Suzannah Bong practices at W180n8085 Town Hall Rd Cmh Heart And Vascular Center, Menomonee Falls, WI 53051. The listed phone number is (262) 532-1300.

What is Suzannah Bong's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Suzannah Bong enrolled in Medicare?

Yes. Suzannah Bong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suzannah Bong was last updated on October 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.