DR. PETER AUGUST GARDETTO (NPI# 1518127463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518127463 |
| Entity Type | Individual |
| Full Name | DR. PETER AUGUST GARDETTO |
| Credential | M. D. |
| Practice Address |
475 Windridge Dr Racine WI 53402-2658 |
| Practice Telephone | 2626396097 |
| Mailing Telephone | 2626396097 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 12836-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
475 WINDRIDGE DR |
| City | RACINE |
| State | WI |
| Zip Code | 53402-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| 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 |
|---|---|---|---|---|
| 1225409048 | Lotus Comprehensive Health Care, Sc | Pediatrics | 2010 Indiana St, Racine, WI 53405-3651 | 2015-10-20 |
| 1194064865 | Children's Hospital of Wisconsin | Pediatrics | 2405 Northwestern Ave, Suite 205, Racine, WI 53404-2534 | 2013-01-31 |
| 1134324502 | Katherine Furman Canfield | Pediatrics | 3821 Spring St, Racine, WI 53405-1667 | 2007-06-18 |
| 1548472657 | Kristen Wasilowski Cook | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2007-05-03 |
| 1164566972 | Leslie M Hertz | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2007-02-16 |
| 1891806873 | Joy Briggs | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-08-31 |
| 1013930106 | Jeffrey Naus | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-26 |
| 1346264470 | Willard Nettles | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-26 |
| 1598788283 | George Milonas | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-25 |
| 1982627642 | Scott W. Meyer | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-25 |
| Find all providers in RACINE | ||||
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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.