Dr. Myriam Jacynthe Donovitch, MD
Dr. Myriam Jacynthe Donovitch, MD practises Sports Medicine in Kenosha, Wisconsin. Qualified in 2019, 7 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 7
- Licensed in
- WI
- In the registry since
- 2020
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
7401 104th Ave Ste 110Kenosha, WI 53142-7845
Phone: (262) 764-5595
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 626-2338
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 83968-20 (WI) |
|---|
Record details
| NPI number | 1093332389 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 2, 2020 |
| Last updated in NPPES | November 11, 2024 |
| Certification date | November 11, 2024 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 304 |
| Average patient age | 72 |
Practises at
- Froedtert South Inc. Hospital · Kenosha, WI · listed as Froedtert South, Inc
Colleagues at Advantage Physical Therapy and Sports Rehab, LLC
- Mhd Anas Alsawaf, MBBS, MD Orthopaedic Surgery Physician · Pleasant Prairie, WI
- Brian Donahue, MD Orthopaedic Surgery Physician · Hayward, WI
- David J Henningsen, MD Family Medicine Physician · Rice Lake, WI
- Daniel B Jankins, MD Internal Medicine Physician · Milwaukee, WI
- Kayla Lynn Jenness Registered Nurse · Rice Lake, WI
- Kellan Brett Klubben, MD Student in an Organized Health Care Education/Training Program · Hayward, WI
- Eric Nuebel, PA-C Physician Assistant · Barron, WI
- Dr. George T Poullette, MD Family Medicine Physician · Pleasant Prairie, WI
- Mrs. Inell Coeseta Rosario, MD Otolaryngology Physician · Inver Grove Heights, MN
- Elizabeth Ann Siikarla Physician Assistant · Hayward, WI
- Kamal Thapar, MD Neurological Surgery Physician · Altoona, WI
- Bambi R Weyers, MD Radiation Oncology Physician · Waukesha, WI
Other providers in Kenosha
-
Comprehensive Orthopaedics SC
7401 104th Ave Ste 110, Kenosha, WI 53142-7845 · (262) 764-5891
-
Dr. John Charles Pick-Jacobs, DO
7401 104th Ave Ste 110, Kenosha, WI 53142 · (262) 764-5595