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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 50722-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 35307800 | 05 |
Street Address |
215 WASHINGTON ST |
City | GRAFTON |
State | WI |
Zip Code | 53024-1700 |
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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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 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 |
---|---|---|---|---|
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 |
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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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.