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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1003392770 | MEDICAID |
| 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 |
| 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 |
| Street Address | W180N8085 TOWN HALL RD |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-3518 |
| 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 | ||||
| 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 | ||||
| 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 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427594886 | Demi Shipley · Demi Mullin | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2017-01-10 |
| 1669601654 | Demi Athans · Demi Pirpiris | Dentist | 916 Southbridge St, Auburn, MA 01501-1321 | 2009-07-10 |
| 1427454628 | Demi Carlos · Demi Nava | Physician Assistant | 242 Cajon St, Redlands, CA 92373-5202 | 2014-11-14 |
| 1336693290 | Demi Hendricks · Demi Sides | Dentist · General Practice | 125 Scott St, Davenport, IA 52801-1130 | 2016-08-09 |
| 1730673955 | Denine Eva Anagnoustopolous | Physician Assistant | 2424 S 90th St, West Allis, WI 53227 | 2018-06-20 |
| 1407347222 | Elisabeth J Knose · Elisabeth J Mayers | Physical Therapist | 350 Thomas More Pkwy Ste 130, Crestview Hills, KY 41017-5119 | 2018-05-29 |
| 1417403833 | Elisabeth Fellows · Elisabeth Hebert | Pharmacist | 1150 Eastman Rd, Center Conway, NH 03813-4221 | 2016-08-26 |
| 1760972707 | Elisabeth Mcdermott · Elisabeth Bolton | Case Manager/Care Coordinator | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2018-05-15 |
| 1487066403 | Elisabeth Barrie · Elisabeth Read | Physical Therapist | 1720 Abbey Rd Ste A, East Lansing, MI 48823-6363 | 2014-05-25 |
| 1194052415 | Elisabeth R Knight · Elisabeth R Cook | Case Manager/Care Coordinator | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2009-11-06 |
Please provide details on DEMI ELISABETH ANAGNOUSTOPOLOUS by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.