DR. JAN P DEROOS (NPI# 1528173762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528173762 |
| Entity Type | Individual |
| Full Name | DR. JAN P DEROOS |
| Credential | MD |
| Practice Address |
1914 Arrowhead Ct Sheboygan WI 53083-2100 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9204597858 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 20728 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30116500 | 05 | |
| DEA NUMBER | AD7528106 | 01 |
| Street Address |
1914 ARROWHEAD CT |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672394 | D Scott Sellinger | Orthopaedic Surgery | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2005-10-07 |
| 1912107954 | Matthew Reed Willsey | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2007-07-18 |
| 1528283926 | Charles Joseph Green | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2007-04-13 |
| 1265503882 | Joseph C Mccormick IIi | Orthopaedic Surgery | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2006-11-13 |
| 1952418402 | Mark S Lang | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1801903356 | John T Livermore | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1215044524 | Jonathan D Pond | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1083729149 | Douglas A Fehrman | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-20 |
| 1740278241 | Bruce A Van Dommelen | Orthopaedic Surgery | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2005-10-10 |
| 1346238011 | Scott T Glaeser | Orthopaedic Surgery | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2005-10-07 |
| Find all providers in SHEBOYGAN | ||||
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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.