DOUGLAS B. EVANS (NPI# 1295820116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295820116 |
| Entity Type | Individual |
| Full Name | DOUGLAS B. EVANS |
| Credential | M.D. |
| Practice Address |
9200 W Wisconsin Avenue Surgical Oncology Milwaukee WI 53226-3522 |
| Practice Telephone | 4148055020 |
| Practice Fax Number | 4148055771 |
| Mailing Telephone | 4148055020 |
| Mailing Fax Number | 4148055771 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
52498 | WI | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
H5546 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1295820116 | 05 | |
| TX | 36457201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902989478 | Douglas L Evans | Dentist | 237 John Knox Road, Tallahassee, FL 32303 | 2006-10-20 |
| 1336148857 | Douglas Brian Evans | Dentist | 7560 Rangewood Dr, Suite 310, Colorado Springs, CO 80920-4199 | 2005-07-18 |
| 1871591768 | Douglas Eugene Evans | Pediatrics | 3912 Sherman Ave, Saint Joseph, MO 64506-3648 | 2005-07-13 |
| 1821493297 | Douglas Houseman Evans | Nurse Practitioner | 100 Garnet Way, Warm Springs, MT 59756 | 2014-10-28 |
| 1205972429 | Douglas A Evans | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202 | 2007-01-29 |
| 1700850005 | Douglas Evans | Orthopaedic Surgery | 2160 S 1st Ave, Maguire 1700, Maywood, IL 60153-3328 | 2006-02-14 |
| 1295716363 | Douglas John Evans | Emergency Medicine | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2005-11-07 |
| Street Address |
9200 W WISCONSIN AVENUE SURGICAL ONCOLOGY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655781 | Marc A Demoya | Surgery | 9200 W Wisconsin Avenue, Trauma Surgery, Milwaukee, WI 53226-3522 | 2005-11-04 |
| 1710531397 | Jessica Rose Gaddy | Nurse Practitioner | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2019-07-31 |
| 1285163931 | Rachel Nordstrom | Emergency Medicine | 9200 W Wisconsin Avenue, 1p, Milwaukee, WI 53226 | 2017-06-07 |
| 1861856734 | Yiwen Cui | Obstetrics & Gynecology | 9200 W Wisconsin Avenue, Department of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2016-04-07 |
| 1033589635 | Supatra A Agarwal | Anesthesiologist Assistant | 9200 W Wisconsin Avenue, Department of Anesthesiology, Milwaukee, WI 53226-3522 | 2015-09-25 |
| 1386012060 | Megan Neperud | Physician Assistant | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2015-09-11 |
| 1659758050 | Ariel Kleman | Internal Medicine | 9200 W Wisconsin Avenue, Milwaukee, WI 53207-2141 | 2015-05-05 |
| 1912317983 | Adam Levin | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-30 |
| 1801216478 | Chad Wenzel | Internal Medicine | 9200 W Wisconsin Avenue, Dept of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-22 |
| 1376961870 | Brian William Quinn | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515661 | Chandler Scott Cortina | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-05-16 |
| 1588906804 | Sophie Dream | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-03-25 |
| 1437407574 | Charles Hc Pilgrim | Surgery | 9200 W Wisconsin Ave, Surgical Oncology, Milwaukee, WI 53226-3522 | 2012-08-21 |
| 1639436629 | Geoffrey Bellini | Surgery | 2801 W Kinnickinnic River Pkwy Ste 575, Milwaukee, WI 53215-5200 | 2012-04-16 |
| 1649558735 | Isaac Roland Kriley | Surgery | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2011-07-25 |
| 1073565776 | Edward Quebbeman | Surgery | 9200 W Wisconsin Ave, Surgical Oncology, Milwaukee, WI 53226-3522 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049072 | Nikolaos Chatzizacharias | Surgery | 9200 West Wisconsin Avenue, Medical College of Wisonsin, Wauwatosa, WI 53226-3596 | 2016-08-28 |
| 1760740898 | Syed Nabeel Zafar | Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2012-04-26 |
| 1770863268 | Mei Li Kwong | Surgery | 1900 South Ave, La Crosse, WI 54601-5467 | 2011-08-28 |
| 1215190210 | Jennifer Grusby Steiman | Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2008-07-09 |
| 1750412615 | Daniel Erik Abbott | Surgery | 600 Highland Ave, Madison, WI 53792-5531 | 2007-03-09 |
| 1508809195 | Sanjoy Saha | Surgery | 2116 Craig Rd, Eau Claire, WI 54701 | 2006-06-13 |
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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.