ERIC M DORN (NPI# 1033192562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033192562 |
| Entity Type | Individual |
| Full Name | ERIC M DORN |
| Credential | M.D. |
| Practice Address |
10945 N Port Washington Rd Ste 201 Mequon WI 53092-5078 |
| Practice Telephone | 4144340461 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
42422 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457529299 | Eric A Dorn | Pediatrics | 100 Bowman Dr, Chop Care Network At Virtua Voorhees Hosp, Voorhees, NJ 08043-9612 | 2008-02-14 |
| Street Address |
10945 N PORT WASHINGTON RD STE 201 |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-5078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842602 | Marie Kristin Troy | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2005-09-22 |
| 1558929273 | Heath Hinson | Physician Assistant | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2019-05-29 |
| 1992274260 | Wisconsin Michigan Physicians, Sc | Durable Medical Equipment & Medical Supplies | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2018-11-16 |
| 1952721045 | Lucy Xiangxi Lu-weinlander | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2014-04-16 |
| 1730529561 | John M Raseman | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2013-06-25 |
| 1225478159 | Joshua Michael Bonis | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2013-06-25 |
| 1629413927 | Daniel Edward Knapp | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2013-05-01 |
| 1447593165 | Adam Bryant | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2013-04-01 |
| 1396009072 | Elton Mustafaraj | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2012-06-27 |
| 1346566734 | Yao Chen | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2010-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1245477025 | Edward Robert Kinsfogel | Radiology | 13116 N Fox Hollow Rd, Mequon, WI 53097-1805 | 2009-01-15 |
| 1568529485 | Louis Owens Jr. | Radiology | 10335 N Port Washington Rd, 250, Mequon, WI 53092-5763 | 2007-01-02 |
| 1306882238 | Medical Scanning Consultants Pa | Radiology | 1340a West Town Square Road, Mequon, WI 53092 | 2006-06-20 |
| 1770531394 | Allan Lipkowitz | Radiology | 11126 N Wyngate Trce, Mequon, WI 53092-5871 | 2006-05-05 |
| 1932157377 | Debra Ann Wiedmeyer | Radiology | 11418 N Canterbury Dr, Mequon, WI 53092-2777 | 2006-05-05 |
| 1154379428 | Stephen M. Humphrey | Radiology | 10614 N Port Washington Rd, Mequon, WI 53092-5013 | 2006-05-05 |
| 1467443887 | Anne E Bartel | Radiology | 1361 W Towne Square Rd, Mequon, WI 53092-5047 | 2005-11-03 |
| 1407842602 | Marie Kristin Troy | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2005-09-22 |
| 1952721045 | Lucy Xiangxi Lu-weinlander | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2014-04-16 |
| Find all providers in MEQUON | ||||
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| 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.