SCOTT MICHAEL GYOROG (NPI# 1235346586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235346586 |
| Entity Type | Individual |
| Full Name | SCOTT MICHAEL GYOROG |
| Credential | MD |
| Practice Address |
3916 N Intertech Court Appleton WI 54913-6957 |
| Practice Telephone | 9209961046 |
| Mailing Telephone | 9209961046 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 53798-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 53798-020 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 53798-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3916 N INTERTECH COURT |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1316340946 | Gerald Mich | Family Medicine | 9636 Lois Ln, Appleton, WI 54914-9024 | 2014-09-26 |
| 1730347196 | Joanne Marie Budi | Family Medicine | W2497 Brookhaven Ct, Appleton, WI 54915-8194 | 2008-06-01 |
| 1538229729 | Nicole A Brady | Family Medicine | N9642 County Trunk N, Appleton, WI 54915 | 2006-12-11 |
| 1205871779 | Leonard Leveille | Family Medicine | 4480 W Spencer St, Appleton, WI 54914-9106 | 2006-06-18 |
| 1811965494 | Michael T Werner | Family Medicine | 59 Park Pl Ste 100, Appleton, WI 54914-8230 | 2006-03-09 |
| 1619945524 | Sourasack Kit Vongsa | Family Medicine | 2500 E Capitol Dr Ste 1200, Appleton, WI 54911 | 2006-03-08 |
| 1669452280 | Julianne Falleroni | Family Medicine | W3124 Van Roy Road, Appleton, WI 54915 | 2006-01-19 |
| 1821084450 | Robert M Makeever | Family Medicine | 201 E Timberline Dr, Appleton, WI 54913-7121 | 2005-09-20 |
| 1316932379 | Jonathan E Hagen | Family Medicine | 55 Meadow Row Ct, Appleton, WI 54913-9511 | 2005-09-15 |
| Find all providers in APPLETON | ||||
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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.