SARAH LYNE GODBERT GAETHKE


Address: 215 Washington St, Grafton, WI 53024-1700
Phone: 2623753700

SARAH LYNE GODBERT GAETHKE (NPI# 1144371261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144371261
Entity Type Individual
Full Name SARAH LYNE GODBERT GAETHKE
Other Name SARAH L GODBERT
Credential M.D.
Practice Address 215 Washington St
Grafton
WI 53024-1700
Mailing Address 3003 W Good Hope Rd
Milwaukee
WI 53209-2042
Practice Telephone 2623753700
Mailing Telephone 4143523100
Enumeration Date 2007-01-15
Last Update Date 2014-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 50722-020 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 35307800 05

Office Location

Street Address 215 WASHINGTON ST
City GRAFTON
State WI
Zip Code 53024-1700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912907254 Jim Stewart Physical Therapist 215 Washington St, Grafton, WI 53024-1700 2005-07-28
1578174819 Kaitlyn Schmidt Occupational Therapist 215 Washington St, Grafton, WI 53024-1700 2020-08-11
1437673738 Abigail R Flancher Physician Assistant 215 Washington St, Grafton, WI 53024-1700 2017-07-28
1306382759 Robyn Nothem Nurse Practitioner 215 Washington St, Grafton, WI 53024-1700 2017-01-10
1770970956 Sarah Lindsey Casey Obstetrics & Gynecology 215 Washington St, Grafton, WI 53024 2015-04-24
1639590722 Gregory C Wochos Clinical Neuropsychologist 215 Washington St, Grafton, WI 53024-1700 2013-12-17
1740558030 Amanda Kathryn Stinson Dietitian, Registered 215 Washington St, Grafton, WI 53024-1700 2011-12-01
1093008963 Frank J Gallo Clinical Neuropsychologist 215 Washington St, Grafton, WI 53024-1700 2011-05-25
1083843114 Alexandra Cameli Carley Dermatology 215 Washington St, Grafton, WI 53024-1700 2009-07-10
1295922177 Aurora Advanced Healthcare, Inc. Durable Medical Equipment & Medical Supplies 215 Washington St, Grafton, WI 53024-1700 2007-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245739135 Kathy Anne Herzog Counselor 101 Falls Rd Suite 210, Grafton, WI 53024 2018-02-06
1992215867 Caroline Marie Brandt Nurse Practitioner 975 Port Washington Rd Ste 310, Grafton, WI 53024 2017-10-05
1124569181 Quirt Family Dentistry, Sc Dentist 1580 Port Washington Road, Grafton, WI 53024 2017-03-10
1639626260 Jennifer Pogodzinski Physical Therapist 975 N. Port Washington Avenue, Grafton, WI 53024 2016-09-01
1750790119 Amanda K Olejniczak Dentist 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 2014-08-10
1992053680 Liliya Lakshtanov Registered Nurse 910 E. Paradise Dr., West Bend, WI 53024 2012-08-28
1467708446 Trevor Holwell Pharmacist 1600 N Port Washington Rd, Grafton, WI 53024 2012-07-27
1770838120 Brian A. Vetterkind Physical Therapist 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 2012-07-20
1366774689 Tracy Lynn Doro-krueger Counselor 1814 Arapaho Court, Grafton, WI 53024 2010-02-11
1659507754 Karen Marie Geschke Physical Therapist 2020 Cheyenne Ct., Grafton, WI 53024 2009-06-03
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306878541 Thomas B Chatton Pediatrics 215 W Washington St, Grafton, WI 53024 2006-07-07
1033326533 Maren Elizabeth Miller Pediatrics 215 Washington St, Grafton, WI 53024-1700 2007-05-16
1316979503 Kevin B Scammell Pediatrics 215 W Washington Street, Grafton, WI 53024 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437767977 St Francs Pediatrics Pediatrics 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 2020-07-21
1780155275 Children's Health System, Inc. Pediatrics 6809 122nd Avenue, Kenosha, WI 54342-7335 2018-12-10
1467972950 Cameron Trammell Shamsi Kasmai Pediatrics 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 2017-06-26
1669903993 Kristin Zorn Pediatrics 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 2017-03-27
1487195822 Jane A Rivas Pediatrics 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 2017-03-18
1467996991 Children's Medical Group Pediatrics N168w22730 Prairie View Lane, Jackson, WI 53037 2016-12-19
1366997496 Ujuchukwu Chizurum Okpechi Pediatrics 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 2016-08-18
1396193454 Helen Gerseny Waterman Pediatrics 123 E Mifflin St Apt 200, Madison, WI 53703-2810 2016-05-31
1972951127 Hillary Herman Pediatrics 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 2016-05-27
1811350416 Brittney Allison Krueger Pediatrics 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 2016-03-31
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Competitor

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City GRAFTON
Zip Code 53024

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Dataset Information

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.

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