JOSE ANDRES MORENO LOPEZ (NPI# 1043545833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043545833 |
| Entity Type | Individual |
| Full Name | JOSE ANDRES MORENO LOPEZ |
| Credential | MD |
| Practice Address |
700 S Park St Madison WI 53715-1830 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6082516100 |
| Practice Fax Number | 6082602976 |
| Mailing Telephone | 6082501497 |
| Mailing Fax Number | 6082501384 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | TRN15501 | FL | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
60049-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MN | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 W Stout St, Department of Surgery, Rice Lake, WI 548685000 | 7152341515 |
| Street Address |
700 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123003 | Marilyn J Borst | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2005-06-09 |
| 1487266714 | Charlene Jenkins | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-08-18 |
| 1073130480 | Amanda Mcafee | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-07-01 |
| 1235759150 | Edriss Drammeh | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-04-21 |
| 1700424777 | Elizabeth H Kuhn | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-12-20 |
| 1295373710 | Lauren Nicole Tobasco | Physician Assistant | 700 S Park St, Madison, WI 53715-1830 | 2019-12-16 |
| 1629610795 | Amanda L Schneider | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-10-10 |
| 1366092017 | Mitchell John Wilkins | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-09-16 |
| 1578119285 | Gary Terlizzi | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-08-18 |
| 1699327304 | Ann R Madden | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205271764 | David C Tomich | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2013-05-09 |
| 1417261363 | Douglas Franklin Soltys | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2010-08-03 |
| 1174843478 | Melody R.s. Threlkeld | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2010-06-09 |
| 1558544502 | Charity Annelien Wip | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2007-12-13 |
| 1861498909 | Kendall D Boone | Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023034832 | Patrick James Kiefer | Surgery | 4500 Oak Ridge Cir, De Pere, WI 54115-9267 | 2006-07-14 |
| 1467930867 | Patrick Murphy | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2018-07-30 |
| 1891038394 | Joshua Simon Pearl | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-04-03 |
| 1700141785 | Lucy Martinek | Surgery | 1000 N Oak Ave, Marshfield, WI 54449 | 2012-07-06 |
| 1780993386 | Adam Lee Goldstein | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2010-09-29 |
| 1205061579 | Rachel Sarah Morris | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2009-05-15 |
| 1669650826 | Jeremy Scott Juern | Surgery | 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522 | 2008-02-08 |
| 1376577460 | Robert L. Coscia | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2006-07-11 |
| 1760434062 | Travis P Webb | Surgery | 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522 | 2006-05-16 |
| 1073565388 | John A Weigelt | Surgery | 9200 W Wisconsin Ave, Trauma Surgery, Milwaukee, WI 53226-3522 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOSE ANDRES MORENO LOPEZ.
| 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.