DR. GARY NEIAL GUTEN (NPI# 1649269481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649269481 |
| Entity Type | Individual |
| Full Name | DR. GARY NEIAL GUTEN |
| Credential | MD |
| Practice Address |
2025 W Oklahoma Ave Suite 100 Milwaukee WI 53215-4455 |
| Practice Telephone | 4146470033 |
| Practice Fax Number | 4146470079 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
15274020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30940300 | 05 |
| Street Address |
2025 W OKLAHOMA AVE SUITE 100 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498214 | Charles J Lanzarotti | Internal Medicine | 2025 W Oklahoma Ave, Ste 100, Milwaukee, WI 53215-4455 | 2005-06-21 |
| 1538572722 | Andrew James Sandgren | Physical Therapist | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2014-06-05 |
| 1538570205 | Kathryn Perz | Nurse Practitioner | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2014-05-15 |
| 1598065559 | Kristine Irene Fleis | Physical Therapist | 2025 W Oklahoma Ave, Suite 104, Milwaukee, WI 53215-4455 | 2010-10-25 |
| 1215163449 | Dana L Reamy | Physical Therapist | 2025 W Oklahoma Ave, Suite 104, Milwaukee, WI 53215-4455 | 2009-06-02 |
| 1497997688 | St Francis Hospital | Rehabilitation Unit | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2009-04-02 |
| 1548406135 | Circle of Life Womens Healthcare Sc | Obstetrics & Gynecology | 2025 W Oklahoma Ave, Suite 122, Milwaukee, WI 53215-4455 | 2009-01-02 |
| 1720230048 | Arrhythmia Consultants of Milwaukee, Sc | Internal Medicine | 2025 W Oklahoma Ave, Suite 102, Milwaukee, WI 53215-4455 | 2008-10-17 |
| 1801050588 | Craig Sather | Physical Therapist | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2008-07-11 |
| 1881857605 | Kathleen T. Walsh | Occupational Therapist | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2008-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306013834 | Patrick Walter Jost | Orthopaedic Surgery | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2008-05-14 |
| 1447451265 | Demetrios J Douros | Orthopaedic Surgery | 8700 W Watertown Plank Rd, Sports Medicine, Milwaukee, WI 53226-3595 | 2007-05-30 |
| 1659587244 | Shayne D Fehr | Orthopaedic Surgery | 3365 S 103rd St, Pediatric Sports Medicine, Milwaukee, WI 53227-4161 | 2007-05-14 |
| 1053489815 | Karie N Zach | Orthopaedic Surgery | 8700 W Watertown Plank Rd, Sports Medicine, Milwaukee, WI 53226-3595 | 2006-12-01 |
| 1730131434 | William G Raasch | Orthopaedic Surgery | 9200 W Wisconsin Ave, Department of Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1255383840 | Carole C Vetter | Orthopaedic Surgery | 9200 W Wisconsin Ave, Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464199 | Lyall Carlton Stilp II | Orthopaedic Surgery | 2133 Willow Ln, Oshkosh, WI 54902-9121 | 2009-04-21 |
| 1992953921 | William David Jones | Orthopaedic Surgery | 1554 River Pines Dr, Green Bay, WI 54311-5648 | 2008-09-03 |
| 1588639256 | Albert J Cecchini | Orthopaedic Surgery | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-02-17 |
| 1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
| 1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
| 1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
| 1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
| 1922322429 | Andrea M. Spiker | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2010-03-26 |
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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.