JACLYN BETH GURWIN


Address: 1025 Regent St, Madison, WI 53715-1248
Phone: 6082822000

JACLYN BETH GURWIN (NPI# 1194107649) 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) 1194107649
Entity Type Individual
Full Name JACLYN BETH GURWIN
Credential MD
Practice Address 1025 Regent St
Madison
WI 53715-1248
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6082822000
Practice Fax Number 6082822172
Enumeration Date 2015-06-22
Last Update Date 2019-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 71271-20 WI Allopathic & Osteopathic Physicians
N 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
71271-20 WI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2880 University Ave, Madison, WI 537053644 6082637171 6082658060

Office Location

Street Address 1025 REGENT ST
City MADISON
State WI
Zip Code 53715-1248

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154303303 Neal Joseph Janquart Anesthesiology 1025 Regent St, Davis Duehr Dean Medical Center, Madison, WI 53715-1248 2005-11-15
1992326995 Noelle Bock Optometrist 1025 Regent St, Madison, WI 53715-1248 2020-04-30
1477113025 Joseph Isik Optometrist 1025 Regent St, Madison, WI 53715-1248 2019-06-17
1336597079 Trevor J Fosso Optometrist 1025 Regent St, Madison, WI 53715-1248 2016-06-02
1962885012 Andrew Kornaus Optometrist 1025 Regent St, Madison, WI 53715-1248 2015-07-08
1205237419 Lynnette Olrick-bielinski Registered Nurse 1025 Regent St, Madison, WI 53715-1248 2014-09-07
1831531557 Andrea C So Optometrist 1025 Regent St, Madison, WI 53715-1248 2013-07-23
1851736037 Wesley C Green Ophthalmology 1025 Regent St, Madison, WI 53715 2013-05-01
1255686846 Christopher M Pruet Ophthalmology 1025 Regent St, Madison, WI 53715-1248 2012-07-19
1861751364 Neil H Farbman Ophthalmology 1025 Regent St, Madison, WI 53715-1248 2012-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851807697 Kristi M Batchelor Nurse Practitioner 20 S Park St Fl 4, Madison, WI 53715 2017-12-15
1578927026 Petra A Kelsey Family Medicine 1107 Emerald St, Madison, WI 53715 2016-04-11
1467889238 Group Health Cooperative of South Central Wi Durable Medical Equipment & Medical Supplies 740 Regent Street, Suite 106, Madison, WI 53715 2013-10-10
1275888760 Sandra Beth Miller Physician Assistant 700 S. Park, Suite A 404, Madison, WI 53715 2012-07-20
1134418486 Matthew Lochen Emergency Medicine 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 2011-04-06
1225275720 Eileen J Breitweiser Social Worker 202 South Parkt Street, Madison, WI 53715 2009-01-21
1225293137 Kenneth H. Yuska, Md, Sc Orthopaedic Surgery 4726 East Towne Blvd., 110, Madison, WI 53715 2008-07-21
1063689727 Rachel I Kornik Dermatology Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 2008-05-13
1144434911 Rebecca Sue Frye Pharmacist 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 2007-05-10
1376755496 Eileen C. Scrivner Social Worker 1008 Fish Hatchery Road, Madison, WI 53715 2007-05-03
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477083194 Maxwell Joseph Wingelaar Ophthalmology Uw Health University Hospital, Madison, WI 53792 2017-06-14
1326420258 Laser Eye Center PC Ophthalmology 135 Coveshire Pl, Madison, AL 35758-3150 2015-06-27
1225392632 Brandon Michael Metcalf Ophthalmology 7610 Mid Town Rd, #308, Madison, WI 53719-3449 2012-06-29
1922397967 Schweninger Ophthalmology, PC Ophthalmology 34 Hughes Rd Ste B, Madison, AL 35758-3000 2011-03-30
1568663003 Lloyd R. Taustine PC Ophthalmology 601 Broadway St Ste 10, Madison, IN 47250-3364 2007-05-31
1356551691 Kevin Kosek Ophthalmology 501 Baptist Dr Ste 220, Madison, MS 39110-2031 2007-05-23
1760522817 David Alan Lewis Ophthalmology 600 Highland Ave # F4349, F4/349, Madison, WI 53792-0001 2007-02-07
1851440077 Patricia Anne Ecker Ophthalmology 11 Woodland Road, Madison, CT 06443 2007-01-09
1194891838 Leonidas Edwin Rice Jr. Ophthalmology 607 W Due W Ave, Ste 115, Madison, TN 37115 2006-11-27
1588692636 William Clay Ashford Ophthalmology 501 Baptist Dr, Suite 220, Madison, MS 39110-2030 2006-06-29
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Competitor

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City MADISON
Zip Code 53715

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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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