GERALD WISNIEWSKI


Address: 1 Main St, Racine, WI 53403-1079
Phone: 2626876100

GERALD WISNIEWSKI (NPI# 1164432647) 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) 1164432647
Entity Type Individual
Full Name GERALD WISNIEWSKI
Credential MD
Practice Address 1 Main St
Racine
WI 53403-1079
Practice Telephone 2626876100
Mailing Telephone 2626876100
Enumeration Date 2006-08-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 19072 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 1 MAIN ST
City RACINE
State WI
Zip Code 53403-1079

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831333855 Kayur Patel Internal Medicine 1 Main St, Racine, WI 53403-1079 2009-04-21
1477743995 Jennie L Peters Nurse Practitioner 1 Main St, Racine, WI 53403-1079 2007-07-31
1669496063 Susan Nosalik Nurse Practitioner 1 Main St, Racine, WI 53403-1079 2006-07-27
1982628855 Daniel B. Ross Internal Medicine 1 Main St, Racine, WI 53403-1079 2006-07-26
1306870696 James P. Gierahn Internal Medicine 1 Main St, Racine, WI 53403-1079 2006-07-10
1952335317 Suzanne L. Cooper Nurse Practitioner 1 Main St, Racine, WI 53403-1079 2006-07-10
1063446482 Judith A. Bagley Nurse Practitioner 1 Main St, Racine, WI 53403-1079 2006-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124676259 Quality Care LLC Clinic/Center 2051 Mead St, Racine, WI 53403 2019-09-02
1073999355 Wisconsin Lutheran Child & Family Service, Inc. Social Worker 6150 Taylor Avenue, Racine, WI 53403 2015-08-10
1457780496 Pheynell Branch Counselor 1650 Wasington Ave, Racine, WI 53403 2013-11-08
1811278054 Michelle Gloria Parisot Psychologist 1320 Wisconsin Ave., Racine, WI 53403 2011-09-01
1720372022 Katie Hagen Social Worker 1717 Taylor Avenue, Racine, WI 53403 2011-06-03
1043431570 Rita S Harris Physical Therapy Assistant Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 2007-05-01
1336281336 Linda J Hockensmith Occupational Therapist 4214 Sheridan Road, Racine, WI 53403 2007-02-13
1851447387 Richard John Kemper Dentist 1509 Washington Ave, Racine, WI 53403 2007-01-26
1689760332 Lester Leslie Higgenbottom Counselor 1820 Arlington Ave, Racine, WI 53403 2006-10-04
1114942315 Access Medical Center, LLC Clinic/Center 4216 Old Green Bay Rd, Racine, WI 53403 2006-07-12
Find all providers in zip 53403

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215095096 Bonnie Lee Wirfs Internal Medicine 2000 Domanik Drive, Racine, WI 53404 2006-12-05
1316055759 Adriana C Gusatu Internal Medicine 3801 Spring Street, Racine, WI 53405-1667 2006-08-27
1639286958 Mary E Pagano Internal Medicine 5333 Douglas Ave, Racine, WI 53402 2006-08-23
1114978699 Sachin H. Panchal Internal Medicine 6232 Bankers Rd, Racine, WI 53403-9747 2006-05-12
1265774715 Erin Cecelia Siegel Internal Medicine 3801 Spring St, Racine, WI 53405 2013-03-22
1710051271 Michael L. Papp Internal Medicine 3803 Spring St, Racine, WI 53405-3594 2006-11-17
1215039722 Roger O Boye Internal Medicine 3803 Spring Street, Suite 600, Racine, WI 53405-1660 2006-09-04
1639189384 Derek Turner Internal Medicine 3807 Spring St, Racine, WI 53405-1667 2006-08-08
1841200383 Kaye-eileen Willard Internal Medicine 3803 Spring St, Suite 410, Racine, WI 53405-1660 2006-08-08
1780694414 Lawrence Tolson Internal Medicine 3805b Spring St, Suite 260, Racine, WI 53405-1641 2006-08-08
Find all providers in RACINE

Competitor

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City RACINE
Zip Code 53403

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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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