DEMI ELISABETH ANAGNOUSTOPOLOUS
Physician Assistant

Address: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518

DEMI ELISABETH ANAGNOUSTOPOLOUS (NPI# 1003392770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003392770
Entity Type Individual
Full Name DEMI ELISABETH ANAGNOUSTOPOLOUS
Gender Female
Credential PA-C
Practice Address W180n8085 Town Hall Rd
Menomonee Falls
WI 53051-3518
Practice Telephone 4142906720
Practice Fax Number 4142906755
Mailing Address W180n8085 Town Hall Rd
Menomonee Falls
WI 53051-3518
Mailing Telephone 2622511000
Mailing Fax Number 2625185052
Enumeration Date 2018-07-16
Last Update Date 2019-08-02
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 4529-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1003392770 MEDICAID

Provider Secondary Practice Locations

Address Telephone Number Fax Number
W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518 4142906720 4142906755
111 E Wisconsin Ave Ste 2000, Milwaukee, WI 532024809 4142906700 4142906781
3200 Pleasant Valley Rd, West Bend, WI 530959274 4142906720 4142906755
375 W River Woods Pkwy, Glendale, WI 532121080 4142906720 4142906755
2061 Cheyenne Ct, Grafton, WI 530249368 4142906720 4142906755
13111 N Port Washington Rd, Mequon, WI 530972416 4142906720 4142906755

Physician Overview

PECOS Associate Control (PAC) ID 4688927437
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20181025001120
Last Name ANAGNOUSTOPOLOUS
First Name DEMI
Middle Name E
Organization Legal Name THE MEDICAL COLLEGE OF WISCONSIN INC
Location 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548
Phone Number 4144564100
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2668384371
Number of Group Practice Members 1589

Office Location

Street Address W180N8085 TOWN HALL RD
City MENOMONEE FALLS
State WI
Zip Code 53051-3518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386647287 Forward Orthopedics, S.c. Orthopaedic Surgery W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2005-05-24
1043801483 Sarah Goerke Dietitian, Registered W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2021-01-28
1770173833 Abigail Gumm Dietitian, Registered W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2021-01-22
1760072151 Kelsie Ruhland · Kelsie Doro Dietitian, Registered W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2021-01-20
1285224683 Kelsey Kempen Dietitian, Registered W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2021-01-20
1053901454 Jennifer Aguirre Dietitian, Registered W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2021-01-20
1336737568 Sara Zemanovic Anesthesiologist Assistant W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2021-01-04
1871181065 Tommy Ha Quach Anesthesiologist Assistant W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2021-01-04
1750993788 Brittany Watson Pharmacist W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2020-08-20
1982237277 Kasey Knecht Nurse Practitioner · Family W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2020-02-15
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023190881 Lindengrove, Inc. Skilled Nursing Facility W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2006-10-20
1689666596 Menomonee Falls Ambulatory Surgery Center Clinic/Center · Ambulatory Surgical W180n8045 Town Hall Rd, Menomonee Falls, WI 53051-3518 2005-08-17
1285101766 Jessica Goetz Physical Therapist · Geriatrics W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2018-11-01
1497268049 Kathryn Anne Gaar Occupational Therapist · Physical Rehabilitation W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-11-06
1467962993 Eva Lynn Sand Physical Therapist W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-10-11
1043720410 Catherine Gagnon Physical Therapist W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-10-11
1871003236 Neil Francis O'Brien Physical Therapy Assistant W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-10-11
1962912469 Kathleen Louise Mans Physical Therapist W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-10-10
1598275190 Lauren Britt Occupational Therapist W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-10-09
1700396363 Amy Beth Hust Physical Therapy Assistant W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-10-09
Find all providers in zip 53051-3518

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1356968002 Marisa Hiley Nurse Practitioner · Psychiatric/Mental Health W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 2020-06-29
1225687940 Andres Sercovich Pharmacist · Ambulatory Care W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 2019-09-05
1699329193 Athletico Ltd Physical Therapist N88w15562 Main St, Menomonee Falls, WI 53051 2019-08-01
1386103059 Aegis Group Practice LLC Occupational Therapist N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 2019-03-13
1962969220 Paladina Health, LLC Family Medicine Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 2019-02-22
1053814772 Waukesha County Community Dental Clinic, Inc. · Waukesha County Community Dental Clinic - Menomonee Falls Clinic/Center · Dental N81w15062 Appleton Ave, Menomonee Falls, WI 53051 2018-03-09
1942753314 Kelly Schmidt Pharmacist · Ambulatory Care 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 2016-08-02
1386027548 Generations Family Dental Care Menomonee Falls, LLC Dentist · General Practice N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 2015-07-07
1184007551 Monjot Kaur Kang Pharmacist N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 2015-07-03
1417334038 Costco Wholesale Corporation · Costco Hearing Aid #1209 Hearing Aid Equipment 9235 Pershing Avenue, Menomonee Falls, WI 53051 2015-05-04
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386836914 Lindsay Marie Tobolic W180n8085 Town Hall Rd Ofc, Menomonee Falls, WI 53051-3518 2007-08-17
1295935492 Amy M Burmesch · Amy M Haas W129n7055 Northfield Dr. Bldg. A, Suite 203, Menomonee Falls, WI 53051 2007-07-25
1548255508 Phillip Zalog W190n5053 Sunset View Dr, Menomonee Falls, WI 53051-6436 2005-09-15
1811557820 Virginia Whinnery N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 2019-06-20
1114445483 Jenna Merry W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2017-09-06
1346692985 Mehwish A Zaidi N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 2016-07-07
1942674353 Samantha Goeke Blackburn · Samantha L Goeke W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 2015-11-23
1922489376 Shea L Lipski · Shea L Jurgens W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 2015-06-11
1619308616 Lauren Taylor · Lauren Hintze W180n8000 Town Hall Rd, Rheumatology, Menomonee Falls, WI 53051-4002 2013-12-02
1487084422 Steve L Blackburn W180n8085 Town Hall Rd, Heart & Vascular Center Clinic, Menomonee Falls, WI 53051-3518 2013-11-12
Find all providers in MENOMONEE FALLS

Competitor

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City MENOMONEE FALLS
Zip Code 53051

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Dataset Information

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.