MR. DAVID ALFRED GEBHARDT (NPI# 1336445279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336445279 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALFRED GEBHARDT |
| Credential | SAC |
| Practice Address |
5212 County Highway M Oregon WI 53575 |
| Mailing Address |
305 E Johnson St 2 Madison WI 53703-1525 |
| Practice Telephone | 6088353101 |
| Mailing Telephone | 6082148870 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15615131 | WI | Behavioral Health & Social Service Providers |
| Street Address |
5212 COUNTY HIGHWAY M |
| City | OREGON |
| State | WI |
| Zip Code | 53575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023079324 | Marie L Roethlisberger | Family Medicine | 5212 County Highway M, Oregon, WI 53575-0140 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015333 | Theresa Sloarie Haywood | Registered Nurse | 372 Nygaard St., Oregon, WI 53575 | 2018-06-04 |
| 1669751806 | Erin J Olheiser | Counselor | 185 W Netherwood St Ste 6b, Oregon, WI 53575 | 2011-08-05 |
| 1053627059 | Roxanne Butterfield | Registered Nurse | 793 Pleasant Oak, Oregon, WI 53575 | 2010-08-27 |
| 1528217759 | Tammy Dee Mandarino | Dentist | 696 Janesville St, Oregon, WI 53575 | 2008-09-11 |
| 1306924832 | Chad T Mueller | Dentist | 978 Park St, Oregon, WI 53575 | 2006-11-01 |
| 1114001666 | Oregon Manor Ltd | Skilled Nursing Facility | 354 N. Main Street, Oregon, WI 53575 | 2006-10-24 |
| 1982056602 | Kristin L. Catani | Family Medicine | 137 S Main St, Oregon, WI 53575 | 2016-07-06 |
| 1053651331 | Oregon Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 815 N Main St, Oregon, WI 53575 | 2013-02-22 |
| 1588837751 | Susan A Johnson | Occupational Therapy Assistant | 354 N Main St, Oregon Manor Ltd, Oregon, WI 53575 | 2008-04-09 |
| 1649354416 | Mary Joan Sella | Social Worker | 602 Pleasant Oak Dr, Oregon, WI 53575 | 2006-10-25 |
| Find all providers in zip 53575 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
| 1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
| 1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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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.