DR. TERESA A GONZAGA (NPI# 1073776928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073776928 |
| Entity Type | Individual |
| Full Name | DR. TERESA A GONZAGA |
| Credential | MD |
| Practice Address |
2116 Craig Rd Eau Claire WI 54701 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7158584500 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
69135 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Jackson St, Saint Paul, MN 551012502 | 6512545151 | 6512543123 |
| Street Address |
2116 CRAIG RD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336897 | Vicki L. Hawn | Radiology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2005-06-20 |
| 1225649890 | Heather Margaret Cork | Nurse Practitioner | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2020-08-16 |
| 1871102335 | Hillary Raye Meyer | Registered Nurse | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2020-07-30 |
| 1003448564 | Jade Ellie Jehn | Occupational Therapist | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2020-02-12 |
| 1093352239 | Sarah Jacobs | Physician Assistant | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2019-12-06 |
| 1760940142 | Mchs Hospitals, Inc. | Durable Medical Equipment & Medical Supplies | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2019-03-05 |
| 1649740564 | Stephanie Cain | Nurse Practitioner | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2018-12-04 |
| 1811474935 | Danny Reinhardt | Nurse Practitioner | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2018-07-21 |
| 1760976096 | Jennifer Rene Rock | Registered Nurse | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2018-06-20 |
| 1821581117 | James Baron | Nurse Practitioner | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070179 | Daniel Butz | Surgery | 10604 N Port Washington Rd, Mequon, WI 53092 | 2010-08-08 |
| 1598834129 | Kant Y.k. Lin | Surgery | 1155 N Mayfair Rd Ste T2600, Milwaukee, WI 53226-3464 | 2006-11-07 |
| 1003867508 | David L Larson | Surgery | 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 | 2006-05-12 |
| 1366409658 | Aesthetic and Reconstructive Surgery Associates Sc | Surgery | W 231 N1440 Corporate Ct, Ste 201, Waukesha, WI 53186 | 2006-04-28 |
| 1760464655 | Richard B Schaefer | Surgery | 1088 S Main St, Fond Du Lac, WI 54935-6102 | 2005-11-16 |
| 1548617962 | Shady Elmaraghi | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-16 |
| 1275913733 | Alexander Henry Slocum Jr. | Surgery | 1155 N Mayfair Rd, Wauwatosa, WI 53226 | 2015-05-31 |
| 1669868709 | Oksana Babchenko | Surgery | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-14 |
| 1659767309 | Katherine Shaum | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-09 |
| 1649664434 | Merit Dermatology, S.c. | Surgery | 6233 Bankers Rd, Suite 20, Mount Pleasant, WI 53403-9700 | 2015-03-19 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on DR. TERESA A GONZAGA.
| 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.