ELAINE M DEMETROULIS (NPI# 1528055670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528055670 |
| Entity Type | Individual |
| Full Name | ELAINE M DEMETROULIS |
| Credential | MD |
| Practice Address |
1130 W 4th St Ste 2050 Lawrence KS 66044 |
| Mailing Address |
1130 W 4th St Ste 2050 Lawrence KS 66044-1333 |
| Practice Telephone | 7855053636 |
| Practice Fax Number | 7855055210 |
| Mailing Telephone | 7855053636 |
| Mailing Fax Number | 7855055210 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0442001 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 24899 | 01 |
| IA | 0436576 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193564943 | 3193564552 |
| Street Address |
1130 W 4TH ST STE 2050 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992101935 | Lauren Perez | Nurse Practitioner | 1130 W 4th St Ste 2050, Lawrence, KS 66044-1333 | 2014-11-18 |
| 1336192210 | Julie L. Pletcher | Nurse Practitioner | 1130 W 4th St Ste 2050, Lawrence, KS 66044 | 2006-05-19 |
| 1871580738 | David L Robbins Jr. | Internal Medicine | 1130 W 4th St Ste 2050, Lawrence, KS 66044-1333 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669845111 | Smalling Vascular Institute, LLC | Internal Medicine | 11025 Metcalf Ave, Overland Park, KS 66210-1815 | 2015-11-05 |
| 1760820492 | Flint Hills Heart Vascular and Vein Clinic, LLC | Internal Medicine | 3905 Vanesta Drive, Manhattan, KS 66503-2001 | 2013-06-04 |
| 1316217110 | G. Whitney Reader Md Pa | Internal Medicine | 8110 E 32nd St N Suite 170, Wichita, KS 67226 | 2012-01-10 |
| 1669470340 | Muhammad Akmal Khan | Internal Medicine | 100 W Ross Blvd Ste 2b, Dodge City, KS 67801-7217 | 2005-07-07 |
| 1821608118 | St. Catherine Hospital | Internal Medicine | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-08-03 |
| 1871056374 | Patrick Ters, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2019-04-11 |
| 1073074126 | Cks Care of Ks, LLC | Internal Medicine | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1659810133 | Newman Memorial County Hospital | Internal Medicine | 1201 W 12th Ave, Emporia, KS 66801-2504 | 2017-02-17 |
| 1588119747 | Miacare Medical Services, LLC | Internal Medicine | 3161 N Rock Rd, Suite A, Wichita, KS 67226-1452 | 2016-08-17 |
| 1801141767 | Patrick Ters | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2012-07-17 |
| Find all providers with the same taxonomy | ||||
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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.