SOTIRIOS A VASILOPOULOS (NPI# 1568432912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568432912 |
Entity Type | Individual |
Full Name | SOTIRIOS A VASILOPOULOS |
Credential | M.D. |
Practice Address |
5900 S Lake Dr Cudahy WI 53110-3171 |
Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
Practice Telephone | 4144894190 |
Practice Fax Number | 4144894015 |
Mailing Telephone | 4143892338 |
Mailing Fax Number | 4143858987 |
Enumeration Date | 2006-01-26 |
Last Update Date | 2019-06-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
70814 | WI | Allopathic & Osteopathic Physicians |
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD439059 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1024199370001 | 05 | |
PA | RAILROAD MEDICARE | PENDING | 01 |
PA | BLUE CROSS/BLUE SHIELD | 2152337 | 01 |
Street Address |
5900 S LAKE DR |
City | CUDAHY |
State | WI |
Zip Code | 53110-3171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073513974 | Allan Richard Pasch | Surgery | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2005-07-21 |
1386268977 | Dawn Sheffield | Social Worker | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-05-30 |
1114546470 | Ally Marthaler-gerads | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-15 |
1689293219 | Hilary Korb | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
1699394213 | Cynthia Faulkner Cook | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
1437655438 | Kimberly J Gehrig | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2018-03-30 |
1346792181 | Kathryn Merkel | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-10-27 |
1487004172 | Ben M Ramirez | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-06-14 |
1366838203 | Cameron M Malone | Hospitalist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2015-04-07 |
1174917199 | Alyssa Kaleta | Internal Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2015-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
1497191357 | Kristel Roebbeke | Occupational Therapist | 4157 W College Ave, Milwaukee, WI 53110 | 2013-05-20 |
1568684058 | City of Cudahy | Case Management | 5050 South Lake Drive, Cudahy, WI 53110 | 2007-05-03 |
1104854363 | Mathew George Mathai | Internal Medicine | 5900 S. Lake Dr., Cudahy, WI 53110 | 2006-06-28 |
1235355983 | Aurora Health Care Metro, Inc. | Clinic/Center | 5900 S Lake Drive, Cudahy, WI 53110 | 2007-04-18 |
1386722817 | Ami Prag | Family Medicine | 5900 S Lake Drive, #100, Cudahy, WI 53110 | 2006-11-01 |
1689780462 | Jack Avak Tertadian | Internal Medicine | 5900 S. Lake Drive, Cudahy, WI 53110 | 2006-08-22 |
1326205162 | Edward J Tomasik & Associate Optometrists Inc. | Durable Medical Equipment & Medical Supplies | 3552 E Layton Ave, Cudahy, WI 53110-0200 | 2008-05-20 |
1609171453 | Stat Access | Nursing Care | 3429 E Allerton Ave, Cudahy, WI 53110-1017 | 2011-01-25 |
1790314599 | John Hoehn | Social Worker | 3754 E Allerton Ave, Cudahy, WI 53110-1109 | 2020-04-03 |
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Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
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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.