ROSEN K DIMITROV (NPI# 1841273638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841273638 |
| Entity Type | Individual |
| Full Name | ROSEN K DIMITROV |
| Credential | M.D. |
| Practice Address |
791 E Summit Ave Oconomowoc WI 53066-3844 |
| Mailing Address |
6400 Industrial Loop Greendale WI 53129-2452 |
| Practice Telephone | 2625690619 |
| Practice Fax Number | 2625690697 |
| Mailing Telephone | 4144234100 |
| Mailing Fax Number | 4144234134 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
45659-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34550200 | 05 |
| Street Address |
791 E SUMMIT AVE |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060585 | Lake Country Emergency Physicians | Emergency Medicine | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-11-17 |
| 1710934328 | Clifford J. Opatken, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-28 |
| 1861449506 | Howard V. Elconin, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-28 |
| 1396792164 | Terrence J. Gaynor, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-27 |
| 1205883048 | P. A. Janusonis, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-27 |
| 1356397475 | Oaac, S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-26 |
| 1346296613 | Jeffery Ceschi, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-26 |
| 1346296597 | Raina L. Hollenbaugh, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-26 |
| 1649256686 | Nancy J Matthews | Physician Assistant | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-12-21 |
| 1891771895 | Danielle Leonard | Nurse Practitioner | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124001938 | Michael J Phillips | Pathology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-11-25 |
| 1033192091 | Michael J. Phillips, M.d., S.c. | Pathology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225316219 | Lisa M Vangemert | Pathology | 2550 University Ave, Apt 523, Madison, WI 53705-3830 | 2011-07-26 |
| 1861712549 | Paul Samuel Weisman | Pathology | Uw Hospital & Clinics, Department of Pathology E5/322 3224, Madison, WI 53792-0001 | 2010-06-04 |
| 1164652087 | Jingnan Xiao | Pathology | 5315 Indigo Way, Middleton, WI 53562-5212 | 2009-07-27 |
| 1588870554 | Jorge Enrique Leon Colonna | Pathology | 8701 Watertown Plank Rd, Attn. Chad Liptow, Ms, Milwaukee, WI 53226-3548 | 2007-05-15 |
| 1265493787 | Thomas F Warner | Pathology | 1123 Edgehill Dr, Madison, WI 53705-1412 | 2006-04-01 |
| 1912968421 | Teresa P Darcy | Pathology | 3064 Edenberry St, Fitchburg, WI 53711-6955 | 2006-04-01 |
| 1154382471 | Ann M Valder | Pathology | University of Wisconsin Hospital and Clinics, 600 Highland Ave H4/831-8320, Madison, WI 53792-0001 | 2006-03-28 |
| 1295182350 | Ryan Bemke | Pathology | 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-18 |
| 1356795553 | Sandor Krisztian Kovacs | Pathology | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-14 |
| 1003226135 | Megan Fitzpatrick | Pathology | 600 Highland Ave, Madison, WI 53792-1305 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on ROSEN K DIMITROV.
| 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.