SOTIRIOS A VASILOPOULOS


Address: 5900 S Lake Dr, Cudahy, WI 53110-3171
Phone: 4144894190

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 1024199370001 05
PA RAILROAD MEDICARE PENDING 01
PA BLUE CROSS/BLUE SHIELD 2152337 01

Office Location

Street Address 5900 S LAKE DR
City CUDAHY
State WI
Zip Code 53110-3171

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City CUDAHY
Zip Code 53110

Improve Information

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Dataset Information

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.

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