GERHARD SAWALL (NPI# 1396710877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396710877 |
| Entity Type | Individual |
| Full Name | GERHARD SAWALL |
| Credential | M.D. |
| Practice Address |
N14w23900 Stone Ridge Dr Prohealth Care Medical Associates Inc Waukesha WI 53188-1135 |
| Practice Telephone | 2625493030 |
| Mailing Telephone | 2625493030 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2012-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 32509 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31722400 | 05 |
| Street Address |
N14W23900 STONE RIDGE DR PROHEALTH CARE MEDICAL ASSOCIATES INC |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704159 | Health Center Pharmacy of Menomonee Falls | Pharmacy | N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 | 2005-07-19 |
| 1902985013 | Jamey Jill Jick | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-11-02 |
| 1265516645 | Laura L Radke | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-10-24 |
| 1144271925 | Amandeep S Gill | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-05-15 |
| 1346206562 | Amy Weaver | Optometrist | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-04-25 |
| 1437115847 | Diane Keyes | Nurse Practitioner | N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 | 2006-04-25 |
| 1508828328 | Catherine Bril | Physician Assistant | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc, Waukesha, WI 53188-1135 | 2006-04-05 |
| 1710947064 | Jean Bagin | Nurse Practitioner | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-03-23 |
| 1881661445 | Tracy R. Coulter | Podiatrist | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-03-02 |
| 1851367072 | Jennifer Vipond | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579098 | Lucia C Roman-marcial | Pediatrics | 309 E North St, Waukesha, WI 53188-3718 | 2005-06-21 |
| 1275872822 | Children's Hospital of Wisconsin | Pediatrics | 726 N East Ave, Waukesha, WI 53186-4807 | 2013-02-01 |
| 1225179005 | Prohealth Care Medical Associates Inc | Pediatrics | 721 American Ave, Suite 309, Waukesha, WI 53188-5071 | 2007-02-12 |
| 1265588172 | Waukesha Pediatric Associates | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2007-01-25 |
| 1114953825 | Yasmin K Bhathena | Pediatrics | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2006-06-24 |
| 1518906288 | Meghan K Kinateder | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-06-06 |
| 1407807647 | Pediatric Healthcare, Sc | Pediatrics | 20611 Watertown Rd, C, Waukesha, WI 53186-1871 | 2006-05-12 |
| 1851367072 | Jennifer Vipond | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-27 |
| 1578538617 | Joseph Tzougros | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-22 |
| 1699748137 | Dorothy Delisle | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-07 |
| Find all providers in WAUKESHA | ||||
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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.