ERIC S. GAENSLEN (NPI# 1982633079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982633079 |
| Entity Type | Individual |
| Full Name | ERIC S. GAENSLEN |
| Credential | M.D. |
| Practice Address |
975 Port Washington Road Suite 110 Grafton WI 53024-9201 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2623878300 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2012-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 36678 | WI | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
36678 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32140000 | 05 | |
| WI | RR MEDICARE | P00452791 | 01 |
| Street Address |
975 PORT WASHINGTON ROAD SUITE 110 |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353243 | Michael J Anderson | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2005-08-18 |
| 1407156136 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 975 Port Washington Road, Suite 110, Grafton, WI 53024 | 2010-10-28 |
| 1710287453 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 975 Port Washington Road, Suite 320, Grafton, WI 53024 | 2010-10-28 |
| 1518276138 | Jennifer L Hohner | Registered Nurse | 975 Port Washington Road, Grafton, WI 53024-9204 | 2010-09-30 |
| 1952610693 | Aurora Pharmacy, Inc. | Pharmacy | 975 Port Washington Road, Suite 100, Grafton, WI 53024-9201 | 2010-09-29 |
| 1265740195 | Aurora Medical Center Grafton, LLC | General Acute Care Hospital | 975 Port Washington Road, Grafton, WI 53024 | 2010-09-14 |
| 1114959897 | Omar J. Darr | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-06 |
| 1447289566 | Gwenn K. Pavlovitz | Surgery | 975 Port Washington Road, Suite 320, Grafton, WI 53024-9201 | 2006-07-01 |
| 1811926017 | Robert Sean Churchill | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-07-01 |
| 1790713527 | James Edwin Stoll Jr. | Orthopaedic Surgery | 975 Port Washington Road, Suite 110, Grafton, WI 53024-9201 | 2006-06-29 |
| Find all providers in the same location | ||||
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938463 | James L Knavel | Orthopaedic Surgery | 352 Peller Rd, Lake Geneva, WI 53147-4543 | 2006-07-21 |
| 1902850696 | Bone & Joint Clinic S.c. | Orthopaedic Surgery | 225000 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-19 |
| 1053310474 | David James Siverhus | Orthopaedic Surgery | 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 | 2005-07-18 |
| 1922453398 | Orthopaedic Centers of Wisconsin S.c. | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2016-05-04 |
| 1174977433 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 | 2016-04-22 |
| 1427476969 | Michael Derek Vaughn | Orthopaedic Surgery | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2014-04-02 |
| 1104262682 | Jasmine Bauknight | Orthopaedic Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2013-05-10 |
| 1154664100 | Dayton M Opel | Orthopaedic Surgery | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2013-03-28 |
| 1194088567 | Kristin Tompkins Mizerik | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2012-06-20 |
| 1881919892 | David William Meister | Orthopaedic Surgery | 525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024 | 2010-04-01 |
| 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.