SANDRA KOESTER


Address: 1111 Delafield St, Waukesha, WI 53188
Phone: 2623035505

SANDRA KOESTER (NPI# 1154839140) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
1442 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 1111 DELAFIELD ST
City WAUKESHA
State WI
Zip Code 53188

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and state

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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Competitor

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City WAUKESHA
Zip Code 53188

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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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