MR. GREGORY STEPHAN VERGAMINI (NPI# 1043384985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043384985 |
| Entity Type | Individual |
| Full Name | MR. GREGORY STEPHAN VERGAMINI |
| Credential | PT, ATC |
| Practice Address |
3500 Tower Ave Superior WI 54880-5335 |
| Practice Telephone | 7153955454 |
| Mailing Telephone | 7153955454 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
1543 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
1790-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
23-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3500 TOWER AVE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801872080 | Vicki Brady | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-5335 | 2005-12-19 |
| 1659911014 | Mary K Robinson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2020-01-13 |
| 1265093413 | Paige Lois Slemmons | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2019-06-27 |
| 1164994513 | Elaina A Fischer | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-4491 | 2018-12-26 |
| 1992229579 | Renee Christine Karth-pearson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-07-26 |
| 1821518267 | Ryan Morgan | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-27 |
| 1639699200 | Nicholas C. Ellefson | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-23 |
| 1760837819 | Eric James Estes | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2016-04-26 |
| 1710352018 | Christina Drexler | Occupational Therapist | 3500 Tower Ave, Superior, WI 54880-5395 | 2015-12-11 |
| 1063881399 | The Duluth Clinic, Ltd. | Pharmacy | 3500 Tower Ave, Suite C, Superior, WI 54880-4685 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093262578 | Cathy Walls | Physical Therapist | 945 N. 12th St, Milwaukee, WI 53201 | 2016-09-01 |
| 1568632818 | Santana Rohan Deacon | Physical Therapist | 1626 W Fond Du Lac Ave, Milwaukee, WI 53205-1228 | 2008-03-03 |
| 1952969909 | Brock Andrew Hanke | Physical Therapist | N8218 State Road 28, Mayville, WI 53050-2126 | 2019-06-04 |
| 1962996033 | Keith Alan Knurr | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2018-06-21 |
| 1386180164 | Daniel G Cobian | Physical Therapist | 4602 Eastpark Blvd, Uw Health At The American Center, Madison, WI 53718-2002 | 2017-01-17 |
| 1811439615 | Vicki Roth | Physical Therapist | 2000 E Layton Ave, Suite 160, St Francis, WI 53235-6053 | 2016-11-09 |
| 1447706445 | Joby Philip | Physical Therapist | 945 N 12th St, Milwaukee, WI 53233-1305 | 2016-08-30 |
| 1205227501 | Marie Kujawa | Physical Therapist | 110 Lone Oak Ln, Hartford Health Center, Hartford, WI 53027-2600 | 2015-02-09 |
| 1023046232 | Susan Elizabeth Hardel | Physical Therapist | 4901 Cottage Grove Rd, Madison, WI 53716-1392 | 2006-06-28 |
| 1679533293 | Sadie Jane Zebell | Physical Therapist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2006-03-27 |
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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.