SANDRA KOESTER (NPI# 1154839140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154839140 |
Entity Type | Individual |
Full Name | SANDRA KOESTER |
Credential | ATC |
Practice Address |
1111 Delafield St Waukesha WI 53188 |
Mailing Address |
604 N 99th St Wauwatosa WI 53226-4312 |
Practice Telephone | 2623035505 |
Mailing Telephone | 4143035128 |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-01-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
1442 | WI | Allopathic & Osteopathic Physicians |
Street Address |
1111 DELAFIELD ST |
City | WAUKESHA |
State | WI |
Zip Code | 53188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346240959 | W. Patrick Flanagan Jr. | Urology | 1111 Delafield St, Suite 12, Waukesha, WI 53188-3417 | 2005-07-26 |
1467975383 | Deanne Evelyn Dunder | Nurse Practitioner | 1111 Delafield St, Waukesha, WI 53188-3417 | 2017-07-23 |
1255868006 | Ryan J Moncada | Physician Assistant | 1111 Delafield St, Suite 207, Waukesha, WI 53188-3417 | 2017-05-11 |
1235672239 | Paul B Doenier Md, Sc | Family Medicine | 1111 Delafield St, Suite 321, Waukesha, WI 53188-3417 | 2016-11-22 |
1013395078 | Alyssa Kathryn Eisner | Physician Assistant | 1111 Delafield St, Suite 209, Waukesha, WI 53188-3403 | 2015-05-11 |
1679950513 | Holly Beth Maciejewski | Nurse Practitioner | 1111 Delafield St, 215, Waukesha, WI 53188-3417 | 2015-04-29 |
1184022360 | Moreland Medical Laboratory, LLC | Clinical Medical Laboratory | 1111 Delafield St, Suite 301, Waukesha, WI 53188-3417 | 2014-12-20 |
1710395959 | Orthopedic Associates of Wisconsin | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2014-07-31 |
1053729046 | Debra Seiler | Nurse Practitioner | 1111 Delafield St, Suite 215, Waukesha, WI 53188-3417 | 2014-07-23 |
1215341920 | Lauren Wagner Wile | Physician Assistant | 1111 Delafield St, Waukesha, WI 53188-3417 | 2014-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
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Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144464199 | Lyall Carlton Stilp II | Orthopaedic Surgery | 2133 Willow Ln, Oshkosh, WI 54902-9121 | 2009-04-21 |
1992953921 | William David Jones | Orthopaedic Surgery | 1554 River Pines Dr, Green Bay, WI 54311-5648 | 2008-09-03 |
1588639256 | Albert J Cecchini | Orthopaedic Surgery | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-02-17 |
1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
1922322429 | Andrea M. Spiker | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2010-03-26 |
1871753517 | Brian Foley Grogan | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2008-06-16 |
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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.