GREGORY PAUL HARBACH (NPI# 1679558290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679558290 |
| Entity Type | Individual |
| Full Name | GREGORY PAUL HARBACH |
| Credential | MD |
| Practice Address |
1109 W Clairemont Ave Eau Claire WI 54701-6105 |
| Mailing Address |
Po Box 19070 Green Bay WI 54307-9070 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 16162 | NV | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
2013001919 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1679558290 | 05 | |
| KS | 200974430A | 05 | |
| NV | 1679558290 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 E Williams Ave, Suite 3301, Fallon, NV 894063052 | 7758677757 | 7754238871 |
| Street Address |
1109 W CLAIREMONT AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164083655 | Katherine French | Speech-Language Pathologist | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2019-06-25 |
| 1568021004 | Nicholas Dewerd | Physical Therapist | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2019-06-09 |
| 1881252906 | Alissa Amundson | Physical Therapist | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2019-06-04 |
| 1396301933 | Renae Tjelta | Occupational Therapist | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2019-05-17 |
| 1528623253 | Susan C Quinn | Physical Therapist | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2019-05-08 |
| 1023575065 | Drake Allen Kessler | Occupational Therapist | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2019-02-26 |
| 1699243170 | Courtney L Rosenow | Occupational Therapist | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2018-11-02 |
| 1538653613 | Sacred Heart Hospital of The Hospital Sisters-3rd Order of St. Francis | Durable Medical Equipment & Medical Supplies | 1109 W Clairemont Ave, Eau Claire, WI 54701-6105 | 2018-06-21 |
| 1164911087 | Linda Odness | Speech-Language Pathologist | 1109 W Clairemont Ave, Eau Claire, WI 54701 | 2018-05-07 |
| 1891283891 | Cynthia White | Physical Therapist | 1109 W Clairemont Ave, Eau Claire, WI 54701 | 2018-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932584927 | Anne Margarethe Ryan | Orthopaedic Surgery | 5940 Wild Rose Ln, Eau Claire, WI 54701-8783 | 2015-07-20 |
| 1114906500 | Charles V Ihle | Orthopaedic Surgery | 1325 Bittersweet Rd, Eau Claire, WI 54701-5608 | 2006-01-13 |
| 1538570411 | Marcus Greatens | Orthopaedic Surgery | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2014-05-14 |
| 1053607408 | Cory Michael Stewart | Orthopaedic Surgery | 1400 Bellinger St, Eau Claire, WI 54703 | 2011-06-23 |
| 1760794275 | Tina Dreger | Orthopaedic Surgery | 1400 Bellinger St, Eau Claire, WI 54703 | 2010-07-13 |
| 1043531874 | Jonathan E Webb | Orthopaedic Surgery | 1400 Bellinger St, Eau Claire, WI 54703 | 2010-06-16 |
| 1619103215 | Thomas J Bramwell | Orthopaedic Surgery | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2009-06-09 |
| 1437314358 | Timothy J O'connor | Orthopaedic Surgery | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2008-07-21 |
| 1225291453 | Todd Schubkegel | Orthopaedic Surgery | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2008-07-08 |
| 1063625648 | Aundrea Rainville | Orthopaedic Surgery | 1400 Bellinger St, Eau Claire, WI 54703 | 2007-05-08 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.