DR. MARC A DEMOYA (NPI# 1588655781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588655781 |
Entity Type | Individual |
Full Name | DR. MARC A DEMOYA |
Credential | MD |
Practice Address |
9200 W Wisconsin Avenue Trauma Surgery Milwaukee WI 53226-3522 |
Practice Telephone | (414) 805-8623 |
Practice Fax Number | 4148058641 |
Mailing Telephone | (414) 805-8623 |
Mailing Fax Number | 4148058641 |
Enumeration Date | 2005-11-04 |
Last Update Date | 2017-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 223920 | MA | Allopathic & Osteopathic Physicians |
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
67333 | WI | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
223920 | MA | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
67333 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2103800 | 05 | |
MA | TUFTS HEALTH PLAN | 468295 | 01 |
MA | BCBS MA | J28713 | 01 |
WI | 1588655781 | 05 |
Street Address |
9200 W WISCONSIN AVENUE TRAUMA SURGERY |
City | MILWAUKEE |
State | WI |
Zip Code | 53226-3522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710531397 | Jessica Rose Gaddy | Nurse Practitioner | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2019-07-31 |
1285163931 | Rachel Nordstrom | Emergency Medicine | 9200 W Wisconsin Avenue, 1p, Milwaukee, WI 53226 | 2017-06-07 |
1861856734 | Yiwen Cui | Obstetrics & Gynecology | 9200 W Wisconsin Avenue, Department of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2016-04-07 |
1033589635 | Supatra A Agarwal | Anesthesiologist Assistant | 9200 W Wisconsin Avenue, Department of Anesthesiology, Milwaukee, WI 53226-3522 | 2015-09-25 |
1386012060 | Megan Neperud | Physician Assistant | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2015-09-11 |
1659758050 | Ariel Kleman | Internal Medicine | 9200 W Wisconsin Avenue, Milwaukee, WI 53207-2141 | 2015-05-05 |
1912317983 | Adam Levin | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-30 |
1801216478 | Chad Wenzel | Internal Medicine | 9200 W Wisconsin Avenue, Dept of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-22 |
1376961870 | Brian William Quinn | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-01 |
1942628706 | Sara Michelle Koller Dunbar | Internal Medicine | 9200 W Wisconsin Avenue, Dept of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-03-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
Find all providers in zip 53226 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356410898 | Panna Ashok Codner | Surgery | 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522 | 2006-11-07 |
1760448526 | Lewis Brian Somberg | Surgery | 9200 W Wisconsin Ave, Trauma and Critical Care Medicine, Milwaukee, WI 53226-3522 | 2006-04-21 |
1588623060 | Transplant S.c. | Surgery | 2901 W Kinnickinnic River Pkwy, #511, Milwaukee, WI 53215-3677 | 2006-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649613787 | James Michael Harrington | Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2013-04-08 |
1447519665 | Scott Alan Turner | Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2012-05-08 |
1720345572 | Adam William Shen | Surgery | 1836 South Ave, La Crosse, WI 54601 | 2012-04-18 |
1205152824 | Stephanie Lynn Bakey | Surgery | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2010-04-08 |
1629239181 | Vildana Omerovic | Surgery | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2008-06-18 |
1992763395 | Robert Emmanuel Benjamin | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-05-03 |
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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.