GREGG E TETTING (NPI# 1023196524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023196524 |
| Entity Type | Individual |
| Full Name | GREGG E TETTING |
| Other Name | GREGG EDWARD TETTING |
| Credential | MD |
| Practice Address |
331 E. Puetz Rd Ste 104 Oak Creek WI 53154-3253 |
| Mailing Address |
100-15th Ave. Ste 180 South Milwaukee WI 53172-1160 |
| Practice Telephone | 4145703590 |
| Practice Fax Number | 4145703599 |
| Mailing Telephone | 4147685430 |
| Mailing Fax Number | 4147624225 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37559-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
331 E. PUETZ RD STE 104 |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558502468 | Randall Lee Fiete | Pediatrics | 980 E Twin Oaks Dr, Oak Creek, WI 53154-7950 | 2009-03-23 |
| 1497740658 | Smriti S Khare | Pediatrics | 8661 S Howell Ave, Oak Creek, WI 53154-2919 | 2005-09-14 |
| 1235122052 | Denise Maureen Clark | Pediatrics | 24690 Bench Ln, Oak Creek, CO 80467-8545 | 2005-08-26 |
| 1700301868 | Children's Health System, Inc. | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2017-08-10 |
| 1033451455 | Mallory Hannah Salentine | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2013-03-24 |
| 1194083493 | Neelofar Nabi | Pediatrics | 331 E Puetz Rd, Oak Creek, WI 53154-3254 | 2012-04-25 |
| 1659546877 | Children's Medical Group | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-2924 | 2008-04-29 |
| 1598938912 | Tanritai Wyllie | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2008-04-07 |
| 1770755829 | Kathrynn Anne Fee | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2008-03-28 |
| 1710184080 | Syeda Qudsia-fatima Khalid | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2007-06-29 |
| Find all providers in OAK CREEK | ||||
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| 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.