DR. CONSTANCE LYNN UTTECH GUNDACKER (NPI# 1891081543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891081543 |
| Entity Type | Individual |
| Full Name | DR. CONSTANCE LYNN UTTECH GUNDACKER |
| Credential | M.D. |
| Practice Address |
5433 W Fond Du Lac Ave Milwaukee WI 53216-1382 |
| Practice Telephone | (414) 277-8909 |
| Practice Fax Number | 4142778939 |
| Mailing Telephone | (414) 277-8909 |
| Mailing Fax Number | 4142778939 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 67655 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
5433 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-1382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780647263 | Melanie Ann Mailloux | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2006-04-07 |
| 1750994968 | Doua Yang | Dental Hygienist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-08-26 |
| 1558995902 | Wesley Chiasson | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-02-25 |
| 1013558642 | Judith L Bellamy | Dental Hygienist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2019-10-04 |
| 1932631876 | Abby Engen-schimek | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2017-03-30 |
| 1003364811 | Kaitlin Schaeren | Nurse Practitioner | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2016-09-21 |
| 1790172070 | Nadia Dhuey | Nurse Practitioner | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-04-24 |
| 1487049276 | Lauren Murray | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-30 |
| 1104210277 | Alexandra Claire Korte | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-26 |
| 1518355858 | John Schimek | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1013390582 | Devashis Mukherjee | Pediatrics | 8915 W Connell Ct, Milwaukee, WI 53226 | 2015-07-02 |
| 1154715639 | Palak Shah | Pediatrics | 8915 W Connell Court, Milwaukee, WI 53226 | 2015-03-24 |
| 1285028886 | Alexandria Holliday | Pediatrics | 999 N 92nd St Ste C460, Milwaukee, WI 53226 | 2015-03-23 |
| 1033526603 | Vijay S Kumbar | Pediatrics | 3003 W Good Hope Rd Apt S-711, Milwaukee, WI 53209-2042 | 2014-07-16 |
| 1275897019 | Monica B Musete | Pediatrics | 3201 S 16th St Ste 1020, Milwaukee, WI 53215-4532 | 2012-06-26 |
| 1427384486 | Sarah J. Pratt | Pediatrics | 3062 E Newport Ct, Milwaukee, WI 53211-2910 | 2009-10-27 |
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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.