BRUCE A VAN DOMMELEN


Address: 2920 Superior Ave, Sheboygan, WI 53081-1944
Phone: 9204583791

BRUCE A VAN DOMMELEN (NPI# 1740278241) 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) 1740278241
Entity Type Individual
Full Name BRUCE A VAN DOMMELEN
Credential MD
Practice Address 2920 Superior Ave
Sheboygan
WI 53081-1944
Practice Telephone 9204583791
Practice Fax Number 9204583783
Mailing Telephone 9204583791
Mailing Fax Number 9204583783
Enumeration Date 2005-10-10
Last Update Date 2011-11-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 28110 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30783400 05

Office Location

Street Address 2920 SUPERIOR AVE
City SHEBOYGAN
State WI
Zip Code 53081-1944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780672394 D Scott Sellinger Orthopaedic Surgery 2920 Superior Ave, Sheboygan, WI 53081-1944 2005-10-07
1407322183 Alyssa Pfeifer-rentmeester Physician Assistant 2920 Superior Ave, Sheboygan, WI 53081-1944 2018-10-19
1235622523 Jacqueline Mary Caelwarts Physician Assistant 2920 Superior Ave, Sheboygan, WI 53081-1944 2018-06-11
1710415427 Amanda Gumm Physical Therapist 2920 Superior Ave, Sheboygan, WI 53081-1944 2017-05-24
1104374388 Amanda Henschel Physical Therapist 2920 Superior Ave, Sheboygan, WI 53081-1944 2016-09-15
1831552256 Matthew Hemsing Internal Medicine 2920 Superior Ave, Sheboygan, WI 53081 2016-04-02
1831591270 Jessica Murphy Nurse Practitioner 2920 Superior Ave, Sheboygan, WI 53081-1944 2014-09-17
1831590264 Amanda Strong Nurse Practitioner 2920 Superior Ave, Suite 110, Sheboygan, WI 53081-1944 2014-09-04
1801217328 St Nicholas Hospital-sisters of The Third Order of St Francis Durable Medical Equipment & Medical Supplies 2920 Superior Ave, Sheboygan, WI 53081-1944 2013-12-31
1477819902 Sheboygan Physicians Group, Sc Internal Medicine 2920 Superior Ave, Sheboygan, WI 53081-1944 2012-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770053696 Kathy Hughes Counseling, LLC Community/Behavioral Health 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 2018-12-04
1780159004 Great Lakes Clinic and Consultants, LLC Clinic/Center 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 2018-10-13
1174032106 Laura Elizabeth Manning Registered Nurse 325 Linocln Ave, Sheboygan, WI 53081 2017-09-21
1043733686 Chasidy D Wilke Behavioral Analyst 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 2017-07-25
1700320074 Darlene Wilken Counselor 2842 S. Business Dr, Sheboygan, WI 53081 2016-12-06
1942652185 Jacob Steven Son Dentist 3555 Wasington Ave., Sheboygan, WI 53081 2016-07-12
1225491749 Cassandra Lea Loehndorf Social Worker 3321 S. 12th St., Sheboygan, WI 53081 2016-04-01
1003201112 Jason Meinhardt Dentist 2115 S Memorial Pl, Sheboygan, WI 53081 2015-04-06
1346634110 Christopher Lenz Specialist/Technologist 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 2015-03-19
1780008060 James Simac Counselor 503 Wisconsin Ave., Sheboygan, WI 53081 2014-02-07
Find all providers in zip 53081

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528173762 Jan P Deroos Orthopaedic Surgery 1914 Arrowhead Ct, Sheboygan, WI 53083-2100 2006-08-20
1780672394 D Scott Sellinger Orthopaedic Surgery 2920 Superior Ave, Sheboygan, WI 53081-1944 2005-10-07
1912107954 Matthew Reed Willsey Orthopaedic Surgery 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 2007-07-18
1528283926 Charles Joseph Green Orthopaedic Surgery 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 2007-04-13
1265503882 Joseph C Mccormick IIi Orthopaedic Surgery 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2006-11-13
1952418402 Mark S Lang Orthopaedic Surgery 2414 Kohler Memorial Dr, Sheboygan, WI 53081 2006-08-23
1801903356 John T Livermore Orthopaedic Surgery 2414 Kohler Memorial Dr, Sheboygan, WI 53081 2006-08-23
1215044524 Jonathan D Pond Orthopaedic Surgery 2414 Kohler Memorial Dr, Sheboygan, WI 53081 2006-08-23
1083729149 Douglas A Fehrman Orthopaedic Surgery 2414 Kohler Memorial Dr, Sheboygan, WI 53081 2006-08-20
1346238011 Scott T Glaeser Orthopaedic Surgery 2920 Superior Ave, Sheboygan, WI 53081-1944 2005-10-07
Find all providers in SHEBOYGAN

Competitor

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City SHEBOYGAN
Zip Code 53081

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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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