DR. LEO RAYMOND GONSOWSKI III (NPI# 1851389167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851389167 |
| Entity Type | Individual |
| Full Name | DR. LEO RAYMOND GONSOWSKI III |
| Credential | DC, CSCS |
| Practice Address |
471 S Arch Ave New Richmond WI 54017-1832 |
| Practice Telephone | 7152465600 |
| Practice Fax Number | 7152465806 |
| Mailing Telephone | 7152465600 |
| Mailing Fax Number | 7152465806 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
3847-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS & BLUE SHIELD | 2C933GO | 01 |
| WI | CHIROCARE WISCONSIN | 666234 | 01 |
| Street Address |
471 S ARCH AVE |
| City | NEW RICHMOND |
| State | WI |
| Zip Code | 54017-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881283 | Anna Pedersen | Physical Therapist | 471 S Arch Ave, New Richmond, WI 54017-1832 | 2020-11-02 |
| 1164901138 | Ryan Nied | Physical Therapist | 471 S Arch Ave, New Richmond, WI 54017-1832 | 2018-08-10 |
| 1548668064 | Alexis Faith Anderson | Physical Therapist | 471 S Arch Ave, New Richmond, WI 54017-1832 | 2014-12-16 |
| 1083928717 | Michael J Wangsness | Physical Therapist | 471 S Arch Ave, Dadez Physical Therapy, Inc, New Richmond, WI 54017-1832 | 2010-08-05 |
| 1922296755 | Jolene A Daulton | Physical Therapist | 471 S Arch Ave, Dadez Physical Therapy, Inc, New Richmond, WI 54017-1832 | 2007-10-05 |
| 1134280241 | Arthur A Haines | Chiropractor | 471 S Arch Ave, New Richmond, WI 54017-1832 | 2006-12-12 |
| 1568554913 | Dadez Physical Therapy, Inc | Clinic/Center | 471 S Arch Ave, New Richmond, WI 54017-1832 | 2006-09-29 |
| 1952402422 | Karl E Dadez | Physical Therapist | 471 S Arch Ave, Dadez Physical Therapy, Inc, New Richmond, WI 54017-1832 | 2006-09-26 |
| 1356442834 | Wendy J Dixen-dadez | Physical Therapist | 471 S Arch Ave, Dadez Physical Therapy, Inc, New Richmond, WI 54017-1832 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
| 1215239736 | Family Therapy Associates, LLC | Clinic/Center | 150 W. First St., Suite 270, New Richmond, WI 54017 | 2010-12-04 |
| 1255452215 | Joseph Scott Gustafson Sr. | Acupuncturist | 1475 Hwy 65, Pain Management Acupuncture of St Croix, New Richmond, WI 54017 | 2007-04-03 |
| 1467582957 | New Richmond Dental | Dentist | 1367 Campus Dr, New Richmond, WI 54017 | 2007-03-06 |
| 1588709513 | Holly Wolf | Occupational Therapist | 908 Brady Lane, New Richmond, WI 54017 | 2007-02-20 |
| 1396891867 | Jamie Marie Neumann | Physical Therapy Assistant | 535 Hospital Rd., New Richmond, WI 54017 | 2007-01-26 |
| 1467519660 | New Richmond Chiropractic Clinic Inc | Chiropractor | 446 S Knowles Ave, New Richmond, WI 54017 | 2007-01-03 |
| 1750457156 | Susan Ann Johnson | Chiropractor | 446 S. Knowles Ave, New Richmond, WI 54017 | 2006-11-28 |
| Find all providers in zip 54017 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658903 | Winneconne Chiropractic and Sports Rehab LLC | Chiropractor | 238 W Main Street, Winneconne, WI 54986 | 2014-07-28 |
| 1760727937 | Frederick Knight Sheppard | Chiropractor | 2649 Bay Settlement Rd, Green Bay, WI 54311-7328 | 2012-11-29 |
| 1306102066 | Imagine Chiropractic and Wellness Center, Inc. | Chiropractor | 445 Cardinal Ln Ste 110, Green Bay, WI 54313-9577 | 2012-04-06 |
| 1609146182 | Grace E Zuiker Nash | Chiropractor | 5829 Birch Ln, Rhinelander, WI 54501-8986 | 2011-12-30 |
| 1477724276 | Washa Chiropractic Clinic, Inc. | Chiropractor | 1415 State Road 16, La Crosse, WI 54601-2980 | 2008-03-19 |
| 1235318585 | Newcare Integrated Health Services, S.c. | Chiropractor | 1366 Appleton Rd, Suite A, Menasha, WI 54952-1504 | 2007-11-02 |
| 1114126570 | Jay J Meverden | Chiropractor | 2600 Stewart Ave Ste 154, Wausau, WI 54401-1404 | 2007-07-16 |
| 1679785729 | Twit Chiropractic Clinic, S.c. | Chiropractor | 3125 Main Street, Stevens Point, WI 54481 | 2007-05-03 |
| 1750507885 | Taylor Chiropractic & Sports Injury Center, S.c. | Chiropractor | 153 E Jefferson St, Spring Green, WI 53588 | 2007-04-17 |
| 1851425052 | William E Atkinson | Chiropractor | 1344 Creston Park Dr, Janesville, WI 53545-1113 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
| City | NEW RICHMOND |
| Zip Code | 54017 |
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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.