MICHAEL J ANDERSON (NPI# 1558353243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558353243 |
| Entity Type | Individual |
| Full Name | MICHAEL J ANDERSON |
| Credential | MD |
| Practice Address |
975 Port Washington Road Suite 110 Grafton WI 53024-9201 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2623878300 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2011-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 35450 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32052500 | 05 | |
| WI | RR MEDICARE | P00742970 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1881234623 | Michael Anderson | Durable Medical Equipment & Medical Supplies | 1203 N Hobart St Ste 34, Pampa, TX 79065-4664 | 2020-01-09 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1679971683 | Michael Anderson | Occupational Therapist | 355 Saddlebrook Cir, Lewisville, NC 27023-8213 | 2014-12-08 |
| 1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
| 1467871517 | Michael Callum Anderson | Counselor | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2014-04-15 |
| 1871911958 | Michael Anderson | Physical Therapist | 9909 Mira Mesa Blvd Ste 260, San Diego, CA 92131-1064 | 2014-04-04 |
| Street Address |
975 PORT WASHINGTON ROAD SUITE 110 |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407156136 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 975 Port Washington Road, Suite 110, Grafton, WI 53024 | 2010-10-28 |
| 1710287453 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 975 Port Washington Road, Suite 320, Grafton, WI 53024 | 2010-10-28 |
| 1518276138 | Jennifer L Hohner | Registered Nurse | 975 Port Washington Road, Grafton, WI 53024-9204 | 2010-09-30 |
| 1952610693 | Aurora Pharmacy, Inc. | Pharmacy | 975 Port Washington Road, Suite 100, Grafton, WI 53024-9201 | 2010-09-29 |
| 1265740195 | Aurora Medical Center Grafton, LLC | General Acute Care Hospital | 975 Port Washington Road, Grafton, WI 53024 | 2010-09-14 |
| 1114959897 | Omar J. Darr | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-06 |
| 1447289566 | Gwenn K. Pavlovitz | Surgery | 975 Port Washington Road, Suite 320, Grafton, WI 53024-9201 | 2006-07-01 |
| 1811926017 | Robert Sean Churchill | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-01 |
| 1982633079 | Eric S. Gaenslen | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-01 |
| 1790713527 | James Edwin Stoll Jr. | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| 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 |
|---|---|---|---|---|
| 1215119599 | Riverside Orthopedic Consulting | Orthopaedic Surgery | 1240 Bridge Street, Grafton, WI 53024 | 2007-11-29 |
| 1942498290 | Riverside Orthopedic Consulting Sc | Orthopaedic Surgery | 1242 13th Ave, Grafton, WI 53024 | 2007-10-11 |
| 1306245881 | United Hospital Center, Inc. | Orthopaedic Surgery | 1 Hospital Plz, Grafton, WV 26354-1283 | 2014-08-20 |
| 1366736928 | Rafael Walker -santiago | Orthopaedic Surgery | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2011-06-01 |
| 1871884437 | Farbod Rastegar | Orthopaedic Surgery | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2011-04-29 |
| 1609023548 | Matthew Paul Wichman | Orthopaedic Surgery | 975 Port Washington Rd, Suite 110, Grafton, WI 53024-9201 | 2008-08-21 |
| 1093859548 | Eric J. Belin | Orthopaedic Surgery | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2007-02-17 |
| 1114959897 | Omar J. Darr | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-06 |
| 1811926017 | Robert Sean Churchill | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-01 |
| 1982633079 | Eric S. Gaenslen | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-01 |
| Find all providers in GRAFTON | ||||
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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.