MR. GERALD EDWARD GOMM (NPI# 1730221250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730221250 |
| Entity Type | Individual |
| Full Name | MR. GERALD EDWARD GOMM |
| Credential | D.C. |
| Practice Address |
111 Plank Road Suite 130 Kaukauna WI 54130-1602 |
| Practice Telephone | 9207667118 |
| Mailing Telephone | 9207667118 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3500-12 | WI | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 350012 | WI | Chiropractic Providers |
| Street Address |
111 PLANK ROAD SUITE 130 |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
| 1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
| Find all providers in zip 54130 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639230741 | Todd Lawrence Smith | Chiropractor | 1801 Crooks Ave, Kaukauna, WI 54130-3245 | 2006-12-12 |
| 1063503316 | Anthony James Dragosh | Chiropractor | 141 W Wisconsin Ave, Ste 3, Kaukauna, WI 54130-2123 | 2006-09-28 |
| 1033200316 | Marilyn Rae Dragosh | Chiropractor | 141 W Wisconsin Ave Ste 3, Kaukauna, WI 54130-2123 | 2006-09-28 |
| 1437188141 | Stone Chiropractic, LLC | Chiropractor | 2450 Crooks Ave, Kaukauna, WI 54130-3914 | 2006-07-03 |
| 1174566012 | James G Ver Voort | Chiropractor | N4083 County Rd E, Suite B, Kaukauna, WI 54130-7595 | 2006-06-14 |
| 1518179720 | Heather Marie Livingstone | Chiropractor | 2450 Crooks Ave, Kaukauna, WI 54130-3914 | 2007-05-03 |
| 1295947406 | Lee Charles Schwalenberg | Chiropractor | 2450 Crooks Ave, Kaukauna, WI 54130-3914 | 2007-05-03 |
| 1003032178 | Haanen Zilisch Smith Chiropractic Clinic LLC | Chiropractor | 1801 Crooks Ave, Kaukauna, WI 54130-3245 | 2007-04-17 |
| 1699836718 | Don Raymond Zilisch | Chiropractor | 1801 Crooks Ave, Kaukauna, WI 54130-3245 | 2006-12-12 |
| 1134211311 | Breitbach Dragosh Chiropractic Clinic, S.c. | Chiropractor | 141 W Wisconsin Ave Ste 3, Kaukauna, WI 54130-2123 | 2006-09-28 |
| Find all providers in KAUKAUNA | ||||
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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.