KAREN GOTWALT (NPI# 1225047525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225047525 |
| Entity Type | Individual |
| Full Name | KAREN GOTWALT |
| Credential | M.D. |
| Practice Address |
201 N Mayfair Rd 2nd Floor Wauwatosa WI 53226-4216 |
| Practice Telephone | 4147718228 |
| Practice Fax Number | 4142562483 |
| Mailing Telephone | 4147718228 |
| Mailing Fax Number | 4142562483 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 28663 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31786900 | 05 | |
| WI | DEA LICENSE | BG1154400 | 01 |
| Street Address |
201 N MAYFAIR RD 2ND FLOOR |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989090 | Anthony A Rieder | Otolaryngology | 201 N Mayfair Rd, Suite #515, Wauwatosa, WI 53226-4216 | 2005-06-01 |
| 1699374066 | Cassandra Leightner | Pharmacist | 201 N Mayfair Rd, Infusion Pharmacy - 1st Floor, Wauwatosa, WI 53226 | 2020-10-18 |
| 1518423995 | Ascension Se Wisconsin Hospital, Inc | Clinic/Center | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2019-02-11 |
| 1952872376 | Amanda Janczak | Physician Assistant | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-12-11 |
| 1780160929 | Chad Knutson | Health Educator | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-07-11 |
| 1518456938 | Elizabeth Charlene Morien | Dietetic Technician, Registered | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-05-02 |
| 1912422692 | Kayla Jankins | Physician Assistant | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2017-08-03 |
| 1093248213 | Elizabeth Arnold | Dietitian, Registered | 201 N Mayfair Rd, 2nd Fl, Wauwatosa, WI 53226-4216 | 2017-04-05 |
| 1033651062 | Alison Ward | Nurse Practitioner | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2016-11-08 |
| 1619427168 | Kathleen Ann Sinclair | Nurse Practitioner | 201 N Mayfair Rd, Suite 310, Wauwatosa, WI 53226-4216 | 2016-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1073771150 | Richard M. Clifford | Obstetrics & Gynecology | 2350 N Met To Wee Ln, Wauwatosa, WI 53226-1613 | 2008-05-27 |
| 1528133725 | Amy Tamburrino | Obstetrics & Gynecology | 3040 North 117th Street, Suite 200, Wauwatosa, WI 53222 | 2006-11-22 |
| 1689775785 | Stephen Patrick Mcavoy | Obstetrics & Gynecology | 3040 N 117th St Ste 200, Wauwatosa, WI 53222-4129 | 2006-09-25 |
| 1548377161 | Patricia A Heywood | Obstetrics & Gynecology | 201 N Mayfair Rd Fl 3, Wauwatosa, WI 53226 | 2006-08-23 |
| 1215987128 | Danish S Siddiqui | Obstetrics & Gynecology | 8320 W Bluemound Rd, Wauwatosa, WI 53213-3367 | 2006-05-11 |
| 1245224864 | Dennis Worthington | Obstetrics & Gynecology | 201 N Mayfair Road, Wauwatosa, WI 53226-4216 | 2005-09-09 |
| 1275927188 | Rachael Persons | Obstetrics & Gynecology | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2015-03-28 |
| 1467772749 | Elizabeth Breuer | Obstetrics & Gynecology | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2010-06-09 |
| 1871810416 | Renee Marie Zimmermann | Obstetrics & Gynecology | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4128 | 2010-04-21 |
| 1831423045 | Michael J. Kuhn, Jr., M.d., S.c. | Obstetrics & Gynecology | 2500 N Mayfair Rd, 330, Wauwatosa, WI 53226-1409 | 2009-09-22 |
| Find all providers in WAUWATOSA | ||||
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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.