BRITTANY KAY GEROVAC (NPI# 1821624925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821624925 |
| Entity Type | Individual |
| Full Name | BRITTANY KAY GEROVAC |
| Credential | PA-C |
| Practice Address |
521 E Washington Ave Madison WI 53703-2900 |
| Practice Telephone | 6086695422 |
| Practice Fax Number | 8883842618 |
| Mailing Telephone | 6086695422 |
| Mailing Fax Number | 8883842618 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
5107 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1821624925 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 Highland Ave, Madison, WI 537052221 | 4149404130 |
| Street Address |
521 E WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154388213 | Howard J Croft | Emergency Medicine | 521 E Washington Ave, Madison, WI 53703-2900 | 2006-05-01 |
| 1003427857 | Haley Pierson | Counselor | 521 E Washington Ave, Madison, WI 53703-2900 | 2020-08-14 |
| 1407478258 | Monarch Addiction Recovery Clinics Sc | Nurse Practitioner | 521 E Washington Ave, Madison, WI 53703-2900 | 2020-05-15 |
| 1922627595 | Monarch Health | Internal Medicine | 521 E Washington Ave, Madison, WI 53703-2900 | 2020-04-13 |
| 1154521425 | Michael D Repplinger | Emergency Medicine | 521 E Washington Ave, Madison, WI 53703-2900 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700829827 | Ellen Andrews Ovson | Internal Medicine | 1600 Browns Ferry Rd, Madison, AL 35758-9601 | 2006-06-14 |
| 1922627595 | Monarch Health | Internal Medicine | 521 E Washington Ave, Madison, WI 53703-2900 | 2020-04-13 |
| 1538540729 | Madison Medical Associates | Internal Medicine | 3809 Sullivan St, Suite 4, Madison, AL 35758-2372 | 2015-06-12 |
| 1962797696 | Genevieve Montagu Von Walstrom | Internal Medicine | 17 Wall St, Madison, CT 06443-3122 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955270 | New Day Medical LLC | Internal Medicine | 4655 N Pt Wash Rd, Glendale, WI 53212-1004 | 2019-07-25 |
| 1518404854 | Cleanslate Medical Group of Wisconsin, Sc | Internal Medicine | 377 W River Woods Pkwy Ste 201, Glendale, WI 53212-1088 | 2017-01-25 |
| 1164596615 | Selahattin S. Kurter | Internal Medicine | 1661 N Water St, Suite 301, Milwaukee, WI 53202-2085 | 2006-11-17 |
| 1932695871 | Iris Health Clinic LLC | Internal Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2018-07-03 |
| 1962911602 | Mareum Lucinda Connett | Internal Medicine | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2017-09-26 |
| 1205263159 | Sullivan Medical Clinic, LLC | Internal Medicine | 6040 W Lisbon Ave, Suite 200, Milwaukee, WI 53210-2116 | 2013-10-07 |
| 1174890792 | Milind Mehta | Internal Medicine | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2011-11-28 |
| 1285824029 | Larry L Heller | Internal Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2007-07-27 |
| 1851505416 | Michael S Goldstone | Internal Medicine | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1649484205 | Charles J Engel | Internal Medicine | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
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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.