KATHERINE ANN GONZAGA (NPI# 1629118211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629118211 |
| Entity Type | Individual |
| Full Name | KATHERINE ANN GONZAGA |
| Credential | MD |
| Practice Address |
6408 Copps Ave Monona WI 53716-3702 |
| Mailing Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6084173000 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
51711 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
6408 COPPS AVE |
| City | MONONA |
| State | WI |
| Zip Code | 53716-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619231 | Melissa S Grimm | Internal Medicine | 6408 Copps Ave, Monona, WI 53716-3702 | 2005-09-14 |
| 1538631940 | Sara Marshall | Registered Nurse | 6408 Copps Ave, Monona, WI 53716-3702 | 2018-12-24 |
| 1851876841 | Abbie Elizabeth Treiber | Registered Nurse | 6408 Copps Ave, Monona, WI 53716-3702 | 2018-09-26 |
| 1477079069 | Kathleen R Green | Nurse Practitioner | 6408 Copps Ave, Monona, WI 53716-3702 | 2017-08-16 |
| 1265801542 | Sara Pagels | Physical Therapy Assistant | 6408 Copps Ave, Monona, WI 53716-3702 | 2015-09-17 |
| 1245633841 | Elizabeth Teresa Villagran | Speech-Language Pathologist | 6408 Copps Ave, Monona, WI 53716-3702 | 2014-09-27 |
| 1326455353 | Naomi Lever | Audiologist | 6408 Copps Ave, Monona, WI 53716-3702 | 2014-07-22 |
| 1326357682 | Victoria Schwartz Hurwitz | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2010-10-04 |
| 1780810911 | Kristina Marie Russell | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2009-06-02 |
| 1639304140 | Julie A Becker | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2009-05-28 |
| 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 | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104893312 | Robert F Lemanske Jr. | Pediatrics | 3515 Sunset Dr, Madison, WI 53705-1430 | 2006-03-07 |
| 1659613263 | Samantha Mae Knox | Pediatrics | 1836 South Ave, La Crosse, WI 54601 | 2013-03-21 |
| 1780959924 | Eric Michael Schauberger | Pediatrics | 451 Junction Rd, Madison, WI 53717 | 2012-03-21 |
| 1699004812 | Sima K Ramratnam | Pediatrics | 1675 Highland Ave, Madison, WI 53792-0001 | 2009-12-17 |
| 1013920297 | Kristen Volkman | Pediatrics | 8500 75th St, Suite 101, Kenosha, WI 53142-8213 | 2006-08-15 |
| 1770592545 | Eli M. Eisenstein | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 | 2006-08-07 |
| 1003823923 | Daniel J Jackson | Pediatrics | 600 Highland Ave, Csc Box 9988, Madison, WI 53792-0001 | 2006-08-02 |
| 1396792891 | John M. Routes | Pediatrics | 9000 W Wisconsin Ave, Pediatric Allery and Immunology, Milwaukee, WI 53226-4874 | 2006-05-28 |
| 1780634840 | Anne Marie Singh | Pediatrics | 451 Junction Rd, Madison, WI 53717-2656 | 2006-05-11 |
| 1841269149 | Marcus Cohen | Pediatrics | 1 S Park St, Madison, WI 53715-1375 | 2006-03-17 |
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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.