DR. SHAYNE D FEHR (NPI# 1659587244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659587244 |
| Entity Type | Individual |
| Full Name | DR. SHAYNE D FEHR |
| Credential | M.D. |
| Practice Address |
3365 S 103rd St Pediatric Sports Medicine Milwaukee WI 53227-4161 |
| Practice Telephone | 4149552600 |
| Practice Fax Number | 4149556440 |
| Mailing Telephone | 4149552600 |
| Mailing Fax Number | 4149556440 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
55847 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1659587244 | 05 |
| Street Address |
3365 S 103RD ST PEDIATRIC SPORTS MEDICINE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53227-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975089 | Kevin D Walter | Pediatrics | 3365 S 103rd St, Greenway Medical Center, Milwaukee, WI 53227-4161 | 2006-06-29 |
| 1174902837 | Ann Smith | Audiologist | 3365 S 103rd St, Greenway Medical Center, Milwaukee, WI 53227-4161 | 2015-05-27 |
| 1447647169 | Tamar Atzenhoefer | Pediatrics | 3365 S 103rd St, Milwaukee, WI 53227 | 2015-04-21 |
| 1326436080 | Brian Butler | Specialist/Technologist | 3365 S 103rd St, Milwaukee, WI 53227-4161 | 2015-01-05 |
| 1710375696 | Drew Thomas Hacker | Specialist/Technologist | 3365 S 103rd St, Milwaukee, WI 53227-4161 | 2014-12-31 |
| 1861890295 | Kathleen Hilgeman | Specialist/Technologist | 3365 S 103rd St, Milwaukee, WI 53227-4161 | 2014-12-17 |
| 1124380407 | Kyle Scharer | Specialist/Technologist | 3365 S 103rd St, Milwaukee, WI 53227-4161 | 2012-06-12 |
| 1770802274 | Timothy Charles Baggott | Dentist | 3365 S 103rd St, Suite 220, Milwaukee, WI 53227-4161 | 2010-05-24 |
| 1508098856 | April Desiree Benoit | Nurse Practitioner | 3365 S 103rd St, Pediatric Orthopaedic Surgery, Milwaukee, WI 53227-4161 | 2009-08-20 |
| 1184837676 | Bridget P Elliott | Audiologist-Hearing Aid Fitter | 3365 S 103rd St, Greenway Medical Center, Milwaukee, WI 53227-4161 | 2007-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306013834 | Patrick Walter Jost | Orthopaedic Surgery | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2008-05-14 |
| 1447451265 | Demetrios J Douros | Orthopaedic Surgery | 8700 W Watertown Plank Rd, Sports Medicine, Milwaukee, WI 53226-3595 | 2007-05-30 |
| 1053489815 | Karie N Zach | Orthopaedic Surgery | 8700 W Watertown Plank Rd, Sports Medicine, Milwaukee, WI 53226-3595 | 2006-12-01 |
| 1730131434 | William G Raasch | Orthopaedic Surgery | 9200 W Wisconsin Ave, Department of Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1255383840 | Carole C Vetter | Orthopaedic Surgery | 9200 W Wisconsin Ave, Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2006-05-16 |
| 1649269481 | Gary Neial Guten | Orthopaedic Surgery | 2025 W Oklahoma Ave, Suite 100, Milwaukee, WI 53215-4455 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464199 | Lyall Carlton Stilp II | Orthopaedic Surgery | 2133 Willow Ln, Oshkosh, WI 54902-9121 | 2009-04-21 |
| 1992953921 | William David Jones | Orthopaedic Surgery | 1554 River Pines Dr, Green Bay, WI 54311-5648 | 2008-09-03 |
| 1588639256 | Albert J Cecchini | Orthopaedic Surgery | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-02-17 |
| 1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
| 1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
| 1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
| 1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
| 1922322429 | Andrea M. Spiker | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2010-03-26 |
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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.