REYHAN DEMIRCIOGLU (NPI# 1215085857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215085857 |
| Entity Type | Individual |
| Full Name | REYHAN DEMIRCIOGLU |
| Credential | MD |
| Practice Address |
2130 Big Bend Rd Prohealth Care Medical Associates Inc. Waukesha WI 53189-7624 |
| Practice Telephone | 2629287555 |
| Practice Fax Number | 2629287575 |
| Mailing Telephone | 2629287555 |
| Mailing Fax Number | 2629287575 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 44518-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34563700 | 05 |
| Street Address |
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC. |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346237625 | William F Lutz | Internal Medicine | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2005-10-03 |
| 1124647029 | Sherry Joanne Meurer | Physical Therapist | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2020-04-10 |
| 1225666399 | Prohealth Care Inc | Physical Therapist | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2020-04-01 |
| 1265909949 | Jonathan R Mueller | Nurse Practitioner | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2018-10-31 |
| 1437544574 | Kathryn B Hughes | Family Medicine | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2015-04-06 |
| 1780919423 | Margo A Sherman | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Associates Inc, Waukesha, WI 53189-7624 | 2009-10-14 |
| 1497989545 | Lauren Marika Flewelen | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Associates Inc., Waukesha, WI 53189-7624 | 2009-05-04 |
| 1245497510 | Mukesh Kumar | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Assoicates Inc, Waukesha, WI 53189-7624 | 2008-05-22 |
| 1952593725 | Anne Marie Frea | Family Medicine | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2007-08-15 |
| 1083815690 | Kathleen A Brass | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Associates, Waukesha, WI 53189-7624 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952541849 | Keshni Lata Ramnanan | Internal Medicine | 2428 N Grandview Blvd, Waukesha, WI 53188-6906 | 2009-03-04 |
| 1841344231 | Greg L Brown | Internal Medicine | 2607 N. Grandview Blvd, Ste 150, Waukesha, WI 53188 | 2007-01-22 |
| 1144305905 | Ryan D. Blenker | Internal Medicine | 725 American Ave. Room 2036, Phc Hospitalist Program, Waukesha, WI 53188-5031 | 2006-10-27 |
| 1396792255 | Timothy Gerard Mcavoy | Internal Medicine | 1751 E Main St, Waukesha, WI 53186-3940 | 2006-05-27 |
| 1093775090 | Harry B. Hostetler | Internal Medicine | 1625 Coldwater Creek Dr, Waukesha, WI 53188-8028 | 2006-03-24 |
| 1033188446 | John T. Fish IIi | Internal Medicine | N9w29326 Thames Rd, Waukesha, WI 53188-9473 | 2006-03-16 |
| 1942274055 | Debra Muggler | Internal Medicine | N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188-1106 | 2006-02-15 |
| 1174596811 | Mary Conti Swiontoniowski | Internal Medicine | 725 American Avenue, Room 2036, Waukesha, WI 53188 | 2006-02-13 |
| 1104899798 | John R. Zandt | Internal Medicine | Waukesha Memorial Hospital-hospitalist Program, 725 American Avenue Room 2036, Waukesha, WI 53188 | 2006-02-13 |
| 1326011701 | Melissa A Kalt | Internal Medicine | 2315 E Moreland Blvd, Waukesha, WI 53186-2909 | 2006-02-08 |
| Find all providers in WAUKESHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.