MEDICARE: DR. SUSAN FRANGISKAKIS 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
1	208000000X	Pediatrics Physician	52830-020	WI
2	174400000X	Specialist	MD419476	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1932172053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN FRANGISKAKIS MD

Provider Business Mailing Address
First Line	:	4652 S BILTMORE LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-2104
Country	:	US
Telephone Number	:	608-924-5655
Fax Number	:	608-305-8954

Provider Business Practice Location Address
First Line	:	4652 S BILTMORE LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-2104
Country	:	US
Telephone Number	:	608-924-5655
Fax Number	:	608-305-8954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	09/18/2025

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