DR. EOIN GORMAN (NPI# 1881949907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881949907 |
| Entity Type | Individual |
| Full Name | DR. EOIN GORMAN |
| Credential | DPM |
| Practice Address |
2061 Cheyenne Ct Grafton WI 53024-9368 |
| Mailing Address |
4425 N Port Washington Rd Glendale WI 53212-1082 |
| Practice Telephone | 2623761934 |
| Practice Fax Number | 2623752076 |
| Mailing Telephone | 4143262218 |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1050 | WI | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1050 | WI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2061 CHEYENNE CT |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-9368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265486120 | Cassandra B Bell | Physician Assistant | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2006-05-22 |
| 1841702701 | Ihc-urgent Care Services LLC | Emergency Medicine | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2017-11-01 |
| 1013449685 | Lauren Weasler | Family Medicine | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2017-04-01 |
| 1972961365 | Anne Kozuch | Nurse Practitioner | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2016-02-01 |
| 1144406869 | Jaime Diaz Cabatingan | Family Medicine | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2008-01-11 |
| 1053590323 | Bonita J. Wendel | Nurse Practitioner | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2007-11-02 |
| 1942323878 | Katherine N Burrows | Internal Medicine | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2007-04-07 |
| 1609809672 | Mark D Shewczyk | Family Medicine | 2061 Cheyenne Ct, Grafton, WI 53024-9368 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
| 1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
| 1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
| 1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
| 1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
| 1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. EOIN GORMAN.
| 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.