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

Nethaum W Mizyed

Individual provider Physician Assistant · NPI 1942834643

Nethaum W Mizyed is a Physician Assistant in West Allis, Wisconsin. Qualified in 2020, 6 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

2424 S 90th St
West Allis, WI 53227-2455
Phone: (414) 281-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 W Loomis Rd, Greenfield, WI 53220-4858 — (414) 281-4466

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5137 (WI)

Record details

NPI number1942834643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2020
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in West Allis