CAITLIN MARY GUNDERSON (NPI# 1497041560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497041560 |
| Entity Type | Individual |
| Full Name | CAITLIN MARY GUNDERSON |
| Other Name | CAITLIN BOETTNER |
| Credential | PA-C |
| Practice Address |
1050 E Broadway Monona WI 53716 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082228779 |
| Practice Fax Number | 6082228944 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2762-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2817 New Pinery Rd, Suite 106, Portage, WI 539019240 | 6087454598 |
| Street Address |
1050 E BROADWAY |
| City | MONONA |
| State | WI |
| Zip Code | 53716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184699761 | Alison R Miller | Family Medicine | 1050 E Broadway, Monona, WI 53716-4023 | 2006-02-17 |
| 1255827093 | University of Wisconsin Hospitals and Clinics Authority | Prosthetic/Orthotic Supplier | 1050 E Broadway, Monona, WI 53716-4023 | 2018-07-05 |
| 1356833008 | Kay Cram | Counselor | 1050 E Broadway, Monona, WI 53716-4023 | 2018-05-30 |
| 1396103974 | Teresa Cramer-mcdonald | Nurse Practitioner | 1050 E Broadway, Monona, WI 53716-4023 | 2016-02-10 |
| 1952783219 | Stefany Trevino | Psychologist | 1050 E Broadway, Monona, WI 53716-4023 | 2015-06-23 |
| 1376924233 | Patrick R Scott | Physical Therapist | 1050 E Broadway, Monona, WI 53716-4023 | 2015-06-16 |
| 1073926168 | Katharine Marshall | Counselor | 1050 E Broadway, Monona, WI 53716-4023 | 2014-06-05 |
| 1982016093 | Lacey N Schmidt | Psychologist | 1050 E Broadway, Monona, WI 53716-4023 | 2014-05-22 |
| 1881023083 | Gyna Maritza O'connell | Counselor | 1050 E Broadway, Monona, WI 53716-4023 | 2013-11-07 |
| 1871885434 | Matthew P Swedlund | Family Medicine | 1050 E Broadway, Monona, WI 53716-4023 | 2011-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902865041 | Linda Lenz | Physician Assistant | 1050 E Broadway, Monona, WI 53716-4023 | 2006-03-18 |
| 1548229685 | Paul Pankratz | Physician Assistant | 1050 E Broadway, Monona, WI 53716-4023 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 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.