JENNIFER J GIBSON CHAMBERS (NPI# 1689017220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689017220 |
| Entity Type | Individual |
| Full Name | JENNIFER J GIBSON CHAMBERS |
| Credential | DO |
| Practice Address |
1000 Mineral Point Ave Janesville WI 53548-2940 |
| Practice Telephone | (608) 756-6611 |
| Practice Fax Number | 6087566177 |
| Mailing Telephone | (608) 756-6611 |
| Mailing Fax Number | 6087566177 |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036142301 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 66923 | WI | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
66923-21 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1000 MINERAL POINT AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278870 | Shahid Shekhani | Internal Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2005-07-12 |
| 1164020152 | Sara Ann Kaster | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-10-13 |
| 1528675824 | Rachel L Brueggen | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-09-30 |
| 1699386839 | John Patrick Newlon | Occupational Therapist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-08-12 |
| 1174154330 | Nicki Lynn Seager | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-27 |
| 1295375798 | David William Castellanos | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-13 |
| 1073152245 | Roger Eric Rundquist | Pharmacist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-05 |
| 1245876515 | Adam Thomas Brogley | Specialist/Technologist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-11-21 |
| 1013567841 | Pauline R Cass | Pharmacist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-09-13 |
| 1023673878 | Courtney Lynn Georg | Specialist/Technologist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497792139 | John A Culp | Emergency Medicine | 1446 N Randall Ave, Janesville, WI 53545-1122 | 2006-06-01 |
| 1366692287 | James John Macneal | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2008-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703653 | Quinton Jarrett Peters | Emergency Medicine | 1204 S Jefferson St, Appleton, WI 54915-1726 | 2018-09-11 |
| 1861440505 | Alice C Bustos | Emergency Medicine | 7220 W National Ave, West Allis, WI 53214-4734 | 2006-05-05 |
| 1184690133 | Manuel A. Rivera | Emergency Medicine | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2006-02-28 |
| 1942588132 | Watertown Regional Medical Center, Inc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2011-07-22 |
| 1770646721 | Larry R Brunzlick | Emergency Medicine | 135 South Gibson Street, Medford, WI 54451 | 2006-12-19 |
| 1669563763 | Scott A Hathaway | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-27 |
| 1639279383 | Rajeshwar Hanmiah | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-23 |
| 1598863334 | George E Vidalakis | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-20 |
| 1548378367 | John Malcolm Mckichan | Emergency Medicine | 11040 N State Road 77, Hayward, WI 54843-6391 | 2006-08-29 |
| 1669407649 | Mohammad Dodwad | Emergency Medicine | 900 College Ave W, Ladysmith, WI 54848-2116 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
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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.