Jacob T Demaster (NPI# 1215373147, PAC ID# 3779892914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215373147 |
| PAC ID by PECOS | 3779892914 |
| Professional Enrollment ID | I20160816001713 |
| Full Name | Jacob T Demaster |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
1813 Ashland Ave Sheboygan WI 53081-6125 |
| Phone Number | 9204584010 |
| Gender | M |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520035 | AURORA SHEBOYGAN MEMORIAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 9204584010 | AURORA MEDICAL GROUP INC |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
1813 ASHLAND AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip | 53081-6125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurtis J Sustachek | Physical Therapy | Aurora Medical Group Inc | 1813 Ashland Ave, Sheboygan, WI 53081-6125 |
| Samuel Z Simons | Physical Therapy | Aurora Medical Group Inc | 1813 Ashland Ave, Sheboygan, WI 53081-6125 |
| Khalyne T Johnson | Family Medicine | Aurora Medical Group Inc | 1813 Ashland Ave, Sheboygan, WI 53081-6125 |
| Kari M Stauffer Vrzal | Family Medicine | Aurora Medical Group Inc | 1813 Ashland Ave, Sheboygan, WI 53081-6125 |
| Brandon T Phelps | Family Medicine | Aurora Medical Group Inc | 1813 Ashland Ave, Sheboygan, WI 53081-6125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kay K Howie | Clinical Social Worker | 4027 S Business Dr, Suite 205, Sheboygan, WI 53081-1261 | |
| Kenneth Scott Heinen | Chiropractic | 1539 N 33rd Pl B, Sheboygan, WI 53081-1839 | |
| Ashley S Perez | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Doris Uhlig Theune | Nurse Practitioner | Sheboygan Physicians Group S.c. | 3315 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison Kescenovitz | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Stacia E Schmidt | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison J Risseeuw | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Kristen M Kaiser | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Tracy L Dumke | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Shannon M Diamond | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Find all physicians in zip 53081 | |||
| City | SHEBOYGAN |
| Zip Code | 53081 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHEBOYGAN + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.