Jan P Deroos, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20728 Issued in WI

Practice address

1914 Arrowhead CT
Sheboygan, WI 53083-2100

Phone

(920) 459-7858

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jderoos45054@direct.myadvocateaurora.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1528173762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 ARROWHEAD CT",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832100",
            "telephone_number": "414-647-6326",
            "fax_number": "414-671-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 ARROWHEAD CT",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832100",
            "telephone_number": "920-459-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROOS",
        "first_name": "JAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "20728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30116500",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jderoos45054@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1914 Arrowhead Ct",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530832100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abigail Rose Demaster, PA-C
• Jacob Tait Demaster, D.O.
• Faith Demunck
• Monica J Demuth, APRN BC NP
• Meagan Marie Derksen, COTA/L
• Tanya Desarmo, LCSW
• Philip M. Detrana, M.D.
• Jennifer Dewey, RDH
• Gurminder Dhillon, MD
• David P Dielentheis, MD

• Orthopaedic Surgery Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.