SANDRA D GOTTWALD (NPI# 1356373591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356373591 |
Entity Type | Individual |
Full Name | SANDRA D GOTTWALD |
Credential | MD |
Practice Address |
3003 W Good Hope Rd Milwaukee WI 53209 |
Practice Telephone | 4143523100 |
Practice Fax Number | 4142474597 |
Mailing Telephone | 4143523100 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-12-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 31447 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31613600 | 05 |
Street Address |
3003 W GOOD HOPE RD |
City | MILWAUKEE |
State | WI |
Zip Code | 53209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740296 | Najwa A Beit Shawish | Pediatrics | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2005-06-16 |
1326675687 | Christopher James Valenti | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
1225665409 | Lisa Schmid | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
1356976856 | Kristen Moose | Dietitian, Registered | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-05 |
1083273197 | Andrew Wroblewski | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-06-12 |
1598222465 | Melissa C Helm | Nurse Practitioner | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-26 |
1386109429 | Advocate Aurora Healthcare | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-03 |
1316415565 | Ifeanyichukwu H Osude | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-11-06 |
1487129011 | Sara Hutchins | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-10-10 |
1295210052 | Liana Kerns | Speech-Language Pathologist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
Find all providers in zip 53209 |
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 |
---|---|---|---|---|
1073837332 | Emily Elizabeth Lombard | Obstetrics & Gynecology | 2311 N Prospect Ave Ste 4c, Milwaukee, WI 53211-4445 | 2010-03-16 |
1487813929 | Stacey Alece Godley | Obstetrics & Gynecology | 3717 N 27th St, Milwaukee, WI 53216-2605 | 2008-06-09 |
1831363886 | Borkowf and Borkovec Md Sc | Obstetrics & Gynecology | 2350 North Lake Drive, Suite 500, Milwaukee, WI 53211-4507 | 2008-04-21 |
1720110596 | Hls Medical Services, Sc | Obstetrics & Gynecology | 3970 N. Oakland Ave #200, Milwaukee, WI 53211 | 2007-03-09 |
1942382775 | Shireen Jayne | Obstetrics & Gynecology | 2350 N Lake Dr Ste 500, Milwaukee, WI 53211-4528 | 2006-10-20 |
1497835888 | Michael A Richter | Obstetrics & Gynecology | 3305 S. 20th St., Ste. 100, Milwaukee, WI 53215-4940 | 2006-10-17 |
1235244484 | Mark Henry Decker | Obstetrics & Gynecology | 215 North 35th Street, Milwaukee, WI 53208-4106 | 2006-08-20 |
1023122066 | Helena M Coke | Obstetrics & Gynecology | 'none', Milwaukee, WI 53224 | 2006-08-18 |
1861447146 | Carol A. Hasenyager | Obstetrics & Gynecology | 3267 S 16th St Ste 108, Milwaukee, WI 53215 | 2006-05-24 |
1326092693 | Kathleen Mary Trebian | Obstetrics & Gynecology | 2524 E Webster Pl Ste 303, Milwaukee, WI 53211-4268 | 2006-05-20 |
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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.