DR. ALEXEI VASILIEVICH AGAPITOV (NPI# 1841201514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841201514 |
| Entity Type | Individual |
| Full Name | DR. ALEXEI VASILIEVICH AGAPITOV |
| Credential | M.D. |
| Practice Address |
16650 W Bluemound Rd Suite 200 Brookfield WI 53005-5920 |
| Practice Telephone | 2628279200 |
| Practice Fax Number | 2628279858 |
| Mailing Telephone | 2628279200 |
| Mailing Fax Number | 2628279858 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
52691-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1841201514 | 05 |
| Street Address |
16650 W BLUEMOUND RD SUITE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025638 | Charles F. Reuben | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-05-31 |
| 1518441898 | Marie Therese Ustruck | Nurse Practitioner | 16650 W Bluemound Rd, Brookfield, WI 53005-5920 | 2018-09-21 |
| 1295229805 | Jessica Kuennen | Physician Assistant | 16650 W Bluemound Rd, Brookfield, WI 53005 | 2018-06-18 |
| 1144628033 | Benjamin Alan Lacoursiere | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2014-12-09 |
| 1336573401 | Kaitlin E Grady | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2013-08-26 |
| 1639402365 | Wisconsin Heart Group Associates LLC | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2009-09-14 |
| 1295925576 | Maria L Diener | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2007-08-01 |
| 1821207655 | Lance Koji Hashimoto | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1770792293 | Access Endodontics LLC | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1922217769 | Sheila Elizabeth Stover | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1639402365 | Wisconsin Heart Group Associates LLC | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2009-09-14 |
| 1336359926 | Brookfield Heart and Vascular | Internal Medicine | 17000 W North Ave, Suite 104-w, Brookfield, WI 53005-4423 | 2007-05-23 |
| 1831228857 | Landmark Healthcare, P.C. | Internal Medicine | 2 Old New Milford Rd, Brookfield, CT 06804-2426 | 2007-03-05 |
| 1295777118 | Timothy R. Hess | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-06-12 |
| 1275575276 | David L. Groden | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
| 1548686470 | Cullinane Cardiovascular Consultants, Sc | Internal Medicine | 317 N Lake Rd, Oconomowoc, WI 53066-7101 | 2014-03-17 |
| 1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
| 1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
| 1295053106 | Setu D Trivedi | Internal Medicine | 10400 75th St Ste 212, Kenosha, WI 53142 | 2010-05-17 |
| 1336467554 | Expert Care Inc | Internal Medicine | 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 | 2010-05-12 |
| 1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1740419019 | Thomas James Karras | Internal Medicine | 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 | 2009-07-08 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on DR. ALEXEI VASILIEVICH AGAPITOV.
| 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.