DR. MICHAEL P EJERCITO (NPI# 1710085048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710085048 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL P EJERCITO |
| Credential | M.D. |
| Practice Address |
202 S Park St Madison WI 53715-1507 |
| Mailing Address |
Po Box 628156 Middleton WI 53562-8156 |
| Practice Telephone | 6084176206 |
| Practice Fax Number | 6084176051 |
| Mailing Telephone | 6264470296 |
| Mailing Fax Number | 6266231227 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 047785 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34682000 | 05 |
| Street Address |
202 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920048 | Meriter Hospital, Inc. | General Practice | 202 S Park St, Madison, WI 53715-1507 | 2005-05-24 |
| 1295333839 | Monica Steigerwald | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-10-15 |
| 1376158667 | Sari L Archer | Nurse Practitioner | 202 S Park St, Madison, WI 53715-1507 | 2020-09-13 |
| 1376152710 | Jeffrey Jaeggi | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-07-30 |
| 1114544673 | Karina Kidd | Genetic Counselor, MS | 202 S Park St, Madison, WI 53715-1596 | 2020-07-01 |
| 1801412606 | Trevor Francis Boensch | Anesthesiologist Assistant | 202 S Park St, Madison, WI 53715-1507 | 2020-06-18 |
| 1225657539 | Joseph W Liggett Jr. | Clinical Nurse Specialist | 202 S Park St, Madison, WI 53715-1507 | 2020-04-16 |
| 1467081711 | Gabrielle Maria Avery | Student in an Organized Health Care Education/Training Program | 202 S Park St, Madison, WI 53715-1507 | 2020-04-07 |
| 1033748439 | Landon Jennings-stoyles | Pharmacist | 202 S Park St, Madison, WI 53715-1507 | 2020-04-07 |
| 1073140950 | Aaron Gilmour | Occupational Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1083004360 | Lauren M Sheehy | Emergency Medicine | 2715 Marshall Ct Apt 216, Madison, WI 53705-2240 | 2015-01-26 |
| 1720347941 | Hannah Eason Bates | Emergency Medicine | 107 Waterford Cir, Madison, AL 35758-7847 | 2012-05-08 |
| 1457649634 | Nicholas R Conwell | Emergency Medicine | 4142 Veith Ave, Madison, WI 53704-1149 | 2011-07-21 |
| 1720376015 | James G Berbee | Emergency Medicine | 3534 Lake Mendota Dr, Madison, WI 53705-1473 | 2011-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1548493588 | Theresa Kinney Payant Mckenna | Emergency Medicine | 3033 Irvington Way, Madison, WI 53713-3413 | 2009-08-25 |
| 1992967343 | Jamie Michelle Hess | Emergency Medicine | 800 University Bay Dr, Suite 310, Madison, WI 53705-2278 | 2008-06-26 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on DR. MICHAEL P EJERCITO.
| 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.