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 |
| Credential | PA-C |
| Practice Address |
W180n8085 Town Hall Rd Menomonee Falls WI 53051-3518 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 2622511000 |
| Mailing Fax Number | 2625185052 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | 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 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Pleasant Valley Rd, West Bend, WI 530959274 | 4142906720 | 4142906755 |
| 2061 Cheyenne Ct, Grafton, WI 530249368 | 4142906720 | 4142906755 |
| 375 W River Woods Pkwy, Glendale, WI 532121080 | 4142906720 | 4142906755 |
| 13111 N Port Washington Rd, Mequon, WI 530972416 | 4142906720 | 4142906755 |
| 111 E Wisconsin Ave Ste 2000, Milwaukee, WI 532024809 | 4142906700 | 4142906781 |
| W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518 | 4142906720 | 4142906755 |
| 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 |
| 1750993788 | Brittany Watson | Pharmacist | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-08-20 |
| 1982237277 | Kasey Knecht | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-02-15 |
| 1275163487 | Kayla Joy Scheid | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-01-16 |
| 1053969980 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2019-09-04 |
| 1376035782 | Shannon Daye | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-31 |
| 1063902054 | Laura Swoboda | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-15 |
| 1578050688 | Joseph Allen Weber | Student in an Organized Health Care Education/Training Program | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-04-16 |
| 1093220360 | Anne Mutitu | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2017-12-08 |
| 1114445483 | Jenna Merry | Physician Assistant | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | 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. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | 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 | 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 | Physician Assistant | W180n8085 Town Hall Rd Ofc, Menomonee Falls, WI 53051-3518 | 2007-08-17 |
| 1295935492 | Amy M Burmesch | Physician Assistant | W129n7055 Northfield Dr. Bldg. A, Suite 203, Menomonee Falls, WI 53051 | 2007-07-25 |
| 1548255508 | Phillip Zalog | Physician Assistant | W190n5053 Sunset View Dr, Menomonee Falls, WI 53051-6436 | 2005-09-15 |
| 1811557820 | Virginia Whinnery | Physician Assistant | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2019-06-20 |
| 1114445483 | Jenna Merry | Physician Assistant | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2017-09-06 |
| 1346692985 | Mehwish A Zaidi | Physician Assistant | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2016-07-07 |
| 1942674353 | Samantha Goeke Blackburn | Physician Assistant | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2015-11-23 |
| 1922489376 | Shea L Lipski | Physician Assistant | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2015-06-11 |
| 1619308616 | Lauren Taylor | Physician Assistant | W180n8000 Town Hall Rd, Rheumatology, Menomonee Falls, WI 53051-4002 | 2013-12-02 |
| 1487084422 | Steve L Blackburn | Physician Assistant | 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 |
Please comment or provide details below to improve the information on DEMI ELISABETH ANAGNOUSTOPOLOUS.
| 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.