GERALD G GOVIN (NPI# 1689782591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689782591 |
| Entity Type | Individual |
| Full Name | GERALD G GOVIN |
| Credential | M.D. |
| Practice Address |
16535 W Bluemound Rd Suite 222 Brookfield WI 53005-5936 |
| Practice Telephone | 2627863222 |
| Practice Fax Number | 2627863228 |
| Mailing Telephone | 2627863222 |
| Mailing Fax Number | 2627863228 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 21950 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30529700 | 05 |
| Street Address |
16535 W BLUEMOUND RD SUITE 222 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824604 | Damon William Buckett | Social Worker | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2005-10-10 |
| 1184076754 | Nicholas Joseph Overbaugh | Counselor | 16535 W Bluemound Rd, Brookfield, WI 53005-5936 | 2016-07-07 |
| 1902278146 | Arriann Tauer | Counselor | 16535 W Bluemound Rd, Suite 305, Brookfield, WI 53005-5936 | 2015-10-27 |
| 1376912972 | Ashley Ross | Counselor | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2015-09-24 |
| 1336401876 | Melissa Marie Burchardt | Dietitian, Registered | 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 | 2012-06-11 |
| 1487911202 | Diane Philippi | Counselor | 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 | 2012-04-18 |
| 1184998403 | Aaron Ezekiel Munson | Counselor | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2012-03-05 |
| 1639478308 | Robin R Miller | Counselor | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2011-03-21 |
| 1083919724 | Andrea Marie Lange | Chiropractor | 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 | 2011-01-11 |
| 1306158001 | Britt Ann Peterson | Psychologist | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2010-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760920110 | Carley Irvin | Specialist | 327 Candlewood Lake Rd, Brookfield, CT 06804-1603 | 2017-02-06 |
| 1487016754 | Sharon Saltsberg | Specialist | 317 Federal Rd, Brookfield, CT 06804-2427 | 2016-03-24 |
| 1073921235 | Sarah Delehanty | Specialist | 7 Granite Dr, Brookfield, CT 06804-1070 | 2014-07-31 |
| 1689936478 | Francesco Lentini | Specialist | 7 Ridgeview Ter, Brookfield, CT 06804-1133 | 2012-06-08 |
| 1699007955 | Robin Paul Appleby | Specialist | 1 Appleby Farm Rd, Brookfield, CT 06804-1147 | 2010-02-11 |
| 1740413822 | Duncan O Abongo | Specialist | 209 Percy Ln, Brookfield, MO 64628-1951 | 2009-08-24 |
| 1215955125 | Brookfield Surgical Associates, Sc | Specialist | 17000 W North Ave Ste 107w, Brookfield, WI 53005-4423 | 2006-07-18 |
| 1447251251 | James R. Lloyd | Specialist | 13105 W Bluemound Rd, Suite 150, Brookfield, WI 53005-8022 | 2005-08-02 |
| 1558365981 | Paul Willon Loewenstein | Specialist | 13800 W North Avenue, Suite 110, Brookfield, WI 53005 | 2005-06-13 |
| 1811132475 | Laura Kay Broderick | Specialist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-12-11 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on GERALD G GOVIN.
| 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.