DR. GARY STEVEN HAUKE (NPI# 1114035441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114035441 |
| Entity Type | Individual |
| Full Name | DR. GARY STEVEN HAUKE |
| Credential | MD |
| Practice Address |
2901 W Kinnickinnic River Pkwy Milwaukee WI 53215-3677 |
| Mailing Address |
9555 N Sequoia Dr Bayside WI 53217 |
| Practice Telephone | 4146493313 |
| Mailing Telephone | 4142287431 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 23079 | WI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30812500 | 05 |
| Street Address |
2901 W KINNICKINNIC RIVER PKWY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536450 | John Pierrus Hanson Jr. | Internal Medicine | 2901 W Kinnickinnic River Pkwy, Ste 415, Milwaukee, WI 53215-3660 | 2005-05-23 |
| 1417588997 | Tara J Palma | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2020-02-03 |
| 1215582440 | Jesslyn J Mcmahon | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2019-08-05 |
| 1427531789 | Jessika Christine Kozik | Dental Hygienist | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2018-09-12 |
| 1982143426 | Daniel R Wells | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2017-02-16 |
| 1881132199 | Patrice Renee Fedel | Clinical Nurse Specialist | 2901 W Kinnickinnic River Pkwy, 403, Milwaukee, WI 53215-3677 | 2017-02-07 |
| 1144772161 | Cynthia Meier | Occupational Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-10-25 |
| 1770032856 | Elise L Rozanski | Physician Assistant | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2016-09-29 |
| 1699222521 | Julie Kindervater Maclellan | Occupational Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-09-08 |
| 1568919066 | Amy E Barwick | Physical Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073837332 | Emily Elizabeth Lombard | Obstetrics & Gynecology | 2311 N Prospect Ave Ste 4c, Milwaukee, WI 53211-4445 | 2010-03-16 |
| 1487813929 | Stacey Alece Godley | Obstetrics & Gynecology | 3717 N 27th St, Milwaukee, WI 53216-2605 | 2008-06-09 |
| 1831363886 | Borkowf and Borkovec Md Sc | Obstetrics & Gynecology | 2350 North Lake Drive, Suite 500, Milwaukee, WI 53211-4507 | 2008-04-21 |
| 1720110596 | Hls Medical Services, Sc | Obstetrics & Gynecology | 3970 N. Oakland Ave #200, Milwaukee, WI 53211 | 2007-03-09 |
| 1942382775 | Shireen Jayne | Obstetrics & Gynecology | 2350 N Lake Dr Ste 500, Milwaukee, WI 53211-4528 | 2006-10-20 |
| 1497835888 | Michael A Richter | Obstetrics & Gynecology | 3305 S. 20th St., Ste. 100, Milwaukee, WI 53215-4940 | 2006-10-17 |
| 1235244484 | Mark Henry Decker | Obstetrics & Gynecology | 215 North 35th Street, Milwaukee, WI 53208-4106 | 2006-08-20 |
| 1023122066 | Helena M Coke | Obstetrics & Gynecology | 'none', Milwaukee, WI 53224 | 2006-08-18 |
| 1861447146 | Carol A. Hasenyager | Obstetrics & Gynecology | 3267 S 16th St Ste 108, Milwaukee, WI 53215 | 2006-05-24 |
| 1326092693 | Kathleen Mary Trebian | Obstetrics & Gynecology | 2524 E Webster Pl Ste 303, Milwaukee, WI 53211-4268 | 2006-05-20 |
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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.