MINA MARIE DEMARCO


Address: 3003 W Good Hope Rd, Milwaukee, WI 53209-2042
Phone: 4143523100

MINA MARIE DEMARCO (NPI# 1013203546) 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) 1013203546
Entity Type Individual
Full Name MINA MARIE DEMARCO
Credential D.O.
Practice Address 3003 W Good Hope Rd
Milwaukee
WI 53209-2042
Practice Telephone 4143523100
Mailing Telephone 4143523100
Enumeration Date 2011-06-23
Last Update Date 2020-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0010X Internal Medicine
Specialization: Sports Medicine
64334 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 100046947 05

Office Location

Street Address 3003 W GOOD HOPE RD
City MILWAUKEE
State WI
Zip Code 53209-2042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396740296 Najwa A Beit Shawish Pediatrics 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2005-06-16
1326675687 Christopher James Valenti Physical Therapy Assistant 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2020-03-26
1225665409 Lisa Schmid Physical Therapy Assistant 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2020-03-26
1356976856 Kristen Moose Dietitian, Registered 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2020-03-05
1083273197 Andrew Wroblewski Physical Therapist 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2019-06-12
1598222465 Melissa C Helm Nurse Practitioner 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2019-02-26
1386109429 Advocate Aurora Healthcare Physical Therapist 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2019-02-03
1316415565 Ifeanyichukwu H Osude Physical Therapist 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2018-11-06
1487129011 Sara Hutchins Physical Therapist 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2018-10-10
1295210052 Liana Kerns Speech-Language Pathologist 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2018-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780238253 Niajcia Brookshire Counselor 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 2019-08-01
1740751015 Mary Fuller Home Health Aide 3043 N 29th St., Milwaukee, WI 53209 2018-12-16
1154869410 Jacksonscott2 Skilled Nursing Facility 4573 N. 22nd Street, Milwaukee, WI 53209 2017-02-07
1669910469 Dimera House In Home Supportive Care 4002 W Fairount Ave, Milwaukee, WI 53209 2017-02-01
1891248340 Amy L May Nurse Practitioner 3303 W Good Hope Rd, Milwaukee, WI 53209 2016-08-02
1871980193 Alan R Rosenthal Pharmacist 6930 N Beech Tree Dr, Milwaukee, WI 53209 2015-04-24
1104212380 Reema Shah Student in an Organized Health Care Education/Training Program 2400 W. Villard Ave, Milwaukee, WI 53209 2015-04-14
1336534403 Robert Michael Kitsis Family Medicine 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 2015-04-05
1962891994 Kls Community Outreach Teen Center Consulting and Management L.L.C. Public Health or Welfare 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 2015-01-14
1548659634 Kls Community Outreach Teen Center Consulting and Management L.L.C. Early Intervention Provider Agency 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 2015-01-13
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Taxonomy Information

Taxonomy Code 207RS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sports Medicine

Taxonomy Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265785372 Rania Louise Dempsey Internal Medicine 405 Genesee St, Delafield, WI 53018-1814 2012-10-26
1811276645 Michael L Breunig Internal Medicine 2501 W Beltline Hwy Ste 601, Madison, WI 53713 2011-08-10
1114205101 Adnan Zaidi Internal Medicine 1640 E Sumner St, Hartford, WI 53027-2684 2011-07-26
1598081473 Andrew M Watson Internal Medicine 621 Science Dr, Madison, WI 53711-1074 2010-04-16
1467677278 Douglas Connor Internal Medicine 820 E Grant St, Appleton, WI 54911-3483 2007-04-16
1144254780 Margaret A. Brooks Internal Medicine 621 Science Dr, Madison, WI 53711 2006-07-10
1285681593 Jennifer S Weibel Internal Medicine 855 N Westhaven Dr, Oshkosh, WI 54904-7668 2006-05-30
1093784241 David T Bernhardt Internal Medicine 2880 University Ave, Madison, WI 53705 2006-03-17

Competitor

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City MILWAUKEE
Zip Code 53209

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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.

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