ROGER GABRIEL (NPI# 1366421133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366421133 |
| Entity Type | Individual |
| Full Name | ROGER GABRIEL |
| Credential | PA-C |
| Practice Address |
2901 W Kinnickinnic River Pkwy #310 Milwaukee WI 53215-3677 |
| Mailing Address |
2901 W Kinnickinnic River Pkwy #310 Milwaukee WI 53215-3660 |
| Practice Telephone | 4146493990 |
| Practice Fax Number | 4146493969 |
| Mailing Telephone | 4146493990 |
| Mailing Fax Number | 4146493969 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42929700 | 05 |
| Street Address |
2901 W KINNICKINNIC RIVER PKWY #310 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536450 | John Pierrus Hanson Jr. | Internal Medicine | 2901 W Kinnickinnic River Pkwy, Ste 415, Milwaukee, WI 53215-3660 | 2005-05-23 |
| 1417588997 | Tara J Palma | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2020-02-03 |
| 1215582440 | Jesslyn J Mcmahon | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2019-08-05 |
| 1427531789 | Jessika Christine Kozik | Dental Hygienist | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2018-09-12 |
| 1982143426 | Daniel R Wells | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2017-02-16 |
| 1881132199 | Patrice Renee Fedel | Clinical Nurse Specialist | 2901 W Kinnickinnic River Pkwy, 403, Milwaukee, WI 53215-3677 | 2017-02-07 |
| 1144772161 | Cynthia Meier | Occupational Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-10-25 |
| 1770032856 | Elise L Rozanski | Physician Assistant | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2016-09-29 |
| 1699222521 | Julie Kindervater Maclellan | Occupational Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-09-08 |
| 1568919066 | Amy E Barwick | Physical Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
| 1386603439 | Harland L Cook | Physician Assistant | 2315 M Lake Drive, #703, Milwaukee, WI 53211 | 2006-03-18 |
| 1871576256 | Kristin Ann Skoraczewski | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2005-11-21 |
| 1144704677 | Jennifer Lynn Vanderpool | Physician Assistant | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-09-20 |
| 1528554292 | Andrea Rakoczy | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2018-07-06 |
| 1639665763 | Lanie E Rudie | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-07-01 |
| 1154815298 | Aaron Kleinertz | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-06-21 |
| 1912419953 | Krista Chipman | Physician Assistant | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2017-10-31 |
| 1578086468 | Benjamin Ingram | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-07-21 |
| 1225481187 | Taylor Boyle | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-07-15 |
| Find all providers in MILWAUKEE | ||||
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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.