Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Verona Maierhofer Ittiara, MD

Individual provider Family Medicine Physician · NPI 1538248455

Dr. Verona Maierhofer Ittiara, MD is a Family Practice in Wild Rose, Wisconsin. Qualified in 2004, 22 years ago. Practices with Southeastern Emergency Physicians of Memphis LLC, a 92-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
22
Licensed in
MO, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Ave
Wild Rose, WI 54984-6901
Phone: (920) 622-3257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 1st Capitol Dr, Saint Charles, MO 63301-2844 — (636) 947-5000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2012033510 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1905-850 (WI)

Record details

NPI number1538248455
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southeastern Emergency Physicians Of Memphis Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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