DR. DEMETRIOS J DOUROS (NPI# 1447451265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447451265 |
| Entity Type | Individual |
| Full Name | DR. DEMETRIOS J DOUROS |
| Credential | M.D. |
| Practice Address |
8700 W Watertown Plank Rd Sports Medicine Milwaukee WI 53226-3595 |
| Practice Telephone | 4148905710 |
| Practice Fax Number | 4148057171 |
| Mailing Telephone | 4148905710 |
| Mailing Fax Number | 4148057171 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
52739 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
8700 W WATERTOWN PLANK RD SPORTS MEDICINE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861479479 | Mark C Mcdonald | Physician Assistant | 8700 W Watertown Plank Rd, Orthopaedic Surgery, Milwaukee, WI 53226 | 2005-12-23 |
| 1568933224 | William Aristides George Iv | Physical Medicine & Rehabilitation | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2018-12-06 |
| 1871063818 | Rochele Drew | Physical Therapist | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2018-12-03 |
| 1689110520 | Lindsey Bowman | Physician Assistant | 8700 W Watertown Plank Rd, Orthopaedic Surgery, Milwaukee, WI 53226-3595 | 2017-01-17 |
| 1740643030 | David Rivedal | Student in an Organized Health Care Education/Training Program | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2016-04-04 |
| 1669834073 | Justin Bric | Student in an Organized Health Care Education/Training Program | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2016-03-24 |
| 1467829937 | Kristin Wuest | Nurse Practitioner | 8700 W Watertown Plank Rd, Comprehensive Vein Clinic, Milwaukee, WI 53226-3595 | 2015-08-31 |
| 1104200666 | Janelle Ann Cross | Specialist | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2015-07-15 |
| 1437546264 | Chase Tobin | Student in an Organized Health Care Education/Training Program | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2015-04-20 |
| 1902296957 | Elizabeth Frieseke | Specialist/Technologist | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2015-01-29 |
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| 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 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306013834 | Patrick Walter Jost | Orthopaedic Surgery | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2008-05-14 |
| 1659587244 | Shayne D Fehr | Orthopaedic Surgery | 3365 S 103rd St, Pediatric Sports Medicine, Milwaukee, WI 53227-4161 | 2007-05-14 |
| 1053489815 | Karie N Zach | Orthopaedic Surgery | 8700 W Watertown Plank Rd, Sports Medicine, Milwaukee, WI 53226-3595 | 2006-12-01 |
| 1730131434 | William G Raasch | Orthopaedic Surgery | 9200 W Wisconsin Ave, Department of Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1255383840 | Carole C Vetter | Orthopaedic Surgery | 9200 W Wisconsin Ave, Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2006-05-16 |
| 1649269481 | Gary Neial Guten | Orthopaedic Surgery | 2025 W Oklahoma Ave, Suite 100, Milwaukee, WI 53215-4455 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464199 | Lyall Carlton Stilp II | Orthopaedic Surgery | 2133 Willow Ln, Oshkosh, WI 54902-9121 | 2009-04-21 |
| 1992953921 | William David Jones | Orthopaedic Surgery | 1554 River Pines Dr, Green Bay, WI 54311-5648 | 2008-09-03 |
| 1588639256 | Albert J Cecchini | Orthopaedic Surgery | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-02-17 |
| 1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
| 1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
| 1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
| 1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
| 1922322429 | Andrea M. Spiker | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2010-03-26 |
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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.