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NPI Code Detail

MEDICARE: EMILY BACKES MD

MEDICARE: EMILY BACKES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology Physician66860-20WI
22080P0202XPediatric Cardiology Physician04-46475KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740677194
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BACKES MD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT STE 730
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-915-0420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2015
Last Update Date : 05/26/2026

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Directions to “ EMILY BACKES MD” Practice Location

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