AMANDA SARA DUPONT (NPI# 1760903934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760903934 |
| Entity Type | Individual |
| Full Name | AMANDA SARA DUPONT |
| Credential | D.O. |
| Practice Address |
9000 W Wisconsin Ave # C550 Milwaukee WI 53226-4874 |
| Mailing Address |
Po Box 1997 Milwaukee WI 53201-1997 |
| Practice Telephone | 4142667445 |
| Mailing Telephone | 4142667445 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
72702-21 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 5101023515 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 West 13 Mile Rd, South Clinic, Royal Oak, MI 48073 | 2485513000 | 2485512032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912064288 | Amanda Dupont | Emergency Medicine | 5656 Bee Cave Rd, Suite M-302, West Lake Hills, TX 78746-5280 | 2007-01-03 |
| Street Address |
9000 W WISCONSIN AVE # C550 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346660917 | Erin Patricia O'donnell | Emergency Medicine | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-04-22 |
| 1629311477 | Kelly Bailey | Emergency Medicine | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-03-30 |
| 1194989822 | Andrea K. Morrison | Emergency Medicine | 9000 W Wisconsin Ave, Pediatric Emergency Medicine, Milwaukee, WI 53226-4874 | 2008-07-11 |
| 1962677864 | Michael Nicholas Levas | Emergency Medicine | 9000 W Wisconsin Ave, Pediatric Emergency Medicine, Milwaukee, WI 53226-4874 | 2008-04-23 |
| 1225184120 | Patrick Christopher Drayna | Emergency Medicine | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2007-01-25 |
| 1346392669 | Tara M Webb | Emergency Medicine | 9000 W Wisconsin Ave, Pediatric Emergency Medicine, Milwaukee, WI 53226-4874 | 2007-01-17 |
| 1346291010 | Christopher D Spahr | Emergency Medicine | 9000 W Wisconsin Ave, Pediatric Emergency Medicine, Milwaukee, WI 53226-4874 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376625327 | Julie A Klein | Emergency Medicine | 248 Mchenry St, Burlington, WI 53105-1828 | 2006-10-19 |
Please comment or provide details below to improve the information on AMANDA SARA DUPONT.
| 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.