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Socheat Ear

Physician Assistant in Marshfield, WI. Individual provider (NPI-1).

NPI number1245915313
StatusActive
Last updated in NPPESSep 15, 2026

Details

NPI
1245915313
Entity type
Individual (NPI-1)
Name
Socheat Ear
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2023
Certification date
Sep 15, 2026
Last updated
Sep 15, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant9011WIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1000 N Oak Ave
Marshfield, WI 54449-5703

Phone 715-387-5511

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703

Phone 715-387-5511

Other practice locations

16 E Gorham St
Madison, WI 53703-2173

Phone 630-542-9192

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Marshfield, WI

All 61 Physician Assistant providers in Marshfield · All 1,533 providers in Marshfield

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