GWENN K. PAVLOVITZ (NPI# 1447289566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447289566 |
| Entity Type | Individual |
| Full Name | GWENN K. PAVLOVITZ |
| Other Name | GWENN K. GRABOYES |
| Credential | M.D. |
| Practice Address |
975 Port Washington Road Suite 320 Grafton WI 53024-9201 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2623878100 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 27056 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RR MEDICARE | P00914018 | 01 |
| WI | 30668300 | 05 |
| Street Address |
975 PORT WASHINGTON ROAD SUITE 320 |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353243 | Michael J Anderson | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2005-08-18 |
| 1407156136 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 975 Port Washington Road, Suite 110, Grafton, WI 53024 | 2010-10-28 |
| 1710287453 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 975 Port Washington Road, Suite 320, Grafton, WI 53024 | 2010-10-28 |
| 1518276138 | Jennifer L Hohner | Registered Nurse | 975 Port Washington Road, Grafton, WI 53024-9204 | 2010-09-30 |
| 1952610693 | Aurora Pharmacy, Inc. | Pharmacy | 975 Port Washington Road, Suite 100, Grafton, WI 53024-9201 | 2010-09-29 |
| 1265740195 | Aurora Medical Center Grafton, LLC | General Acute Care Hospital | 975 Port Washington Road, Grafton, WI 53024 | 2010-09-14 |
| 1114959897 | Omar J. Darr | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-06 |
| 1811926017 | Robert Sean Churchill | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-01 |
| 1982633079 | Eric S. Gaenslen | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-01 |
| 1790713527 | James Edwin Stoll Jr. | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225325491 | Allison Joyce Duchow | Surgery | 146 Fitzroy St., Grafton, NSW 2460 | 2011-07-07 |
| 1821049339 | Isidro A Amigo | Surgery | 8 Rose St, Grafton, WV 26354-1678 | 2006-05-12 |
| 1104055839 | Abhishek Sundaram | Surgery | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2009-07-01 |
| 1164632410 | James D Larson | Surgery | 975 Port Washington Rd, Suite 320, Grafton, WI 53024-9201 | 2007-05-23 |
| 1497732408 | Michael D Erickson | Surgery | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
| 1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
| 1700263720 | Marianna Dubovska | Surgery | 902 Riverside Dr Ste 201, Waupaca, WI 54981-1992 | 2015-04-28 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1972901262 | The Healthy Vein, Sc | Surgery | N79w14684 Appleton Ave, Menomonee Falls, WI 53051-4308 | 2014-12-18 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GWENN K. PAVLOVITZ.
| 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.