GARY J JANSSEN (NPI# 1063527539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063527539 |
| Entity Type | Individual |
| Full Name | GARY J JANSSEN |
| Credential | MD |
| Practice Address |
102 W Cannery St Greenwood WI 54437 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
| Practice Telephone | 7152676600 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22408 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30264300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023026689 | Gary Janssen | Family Medicine | 112 E Detroit Ave, Indianola, IA 50125-1860 | 2006-08-03 |
| Street Address |
102 W CANNERY ST |
| City | GREENWOOD |
| State | WI |
| Zip Code | 54437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437264900 | Scott A Brown | Physician Assistant | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
| 1457999476 | Memorial Hospital, Inc. | Clinic/Center | 102 W Cannery St, Greenwood, WI 54437-9705 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497833966 | Sport & Spine Clinic Lp | Clinic/Center | 133 South Main Street, Greenwood, WI 54437 | 2006-11-01 |
| 1467538306 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 102 W. Cannery St., Greenwood, WI 54437 | 2006-10-31 |
| 1003032731 | Eugene Dale Martin | Chiropractor | 134 S Main St, Greenwood, WI 54437-0214 | 2007-04-18 |
| 1437109113 | Lena Marie Abrahamson | Physical Therapist | 133 S Main St, Sport and Spine Clinic, Greenwood, WI 54437-0297 | 2006-05-11 |
| 1912133307 | Amanda Ruff | Registered Nurse | W5574 Lovers Rd, Greenwood, WI 54437-8316 | 2009-05-31 |
| 1497760359 | Dorothy Jean Roback | Nurse Practitioner | W5682 Lovers Rd, Greenwood, WI 54437-8317 | 2006-07-29 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1831676360 | Callie Mae Horstman | Chiropractor | 124 N Main St, Greenwood, WI 54437-9419 | 2018-07-27 |
| 1164931473 | East Fountain Chiropractic LLC | Chiropractor | 124 N Main St, Greenwood, WI 54437-9419 | 2017-09-29 |
| 1639695745 | Kati Jean Ghess | Chiropractor | 124 N Main St, Greenwood, WI 54437-9419 | 2017-08-21 |
| Find all providers in zip 54437 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862473 | Kristina Mckissick | Family Medicine | 805 Montague Ave, Greenwood, SC 29649-1471 | 2020-02-05 |
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1689066060 | Richard Glen Huber | Family Medicine | 31 N Restin Rd, Greenwood, IN 46142-8583 | 2015-02-23 |
| 1679912406 | Michael J. Mooney | Family Medicine | 965 Emerson Pkwy Ste J, Greenwood, IN 46143 | 2013-06-14 |
| 1114362639 | Sarah Ann Beeson | Family Medicine | 1000 Us Highway 31 S, Greenwood, IN 46143-2407 | 2013-05-10 |
| 1013350198 | Elise Rose Laroche | Family Medicine | 747 E County Line Rd Ste D, Greenwood, IN 46143-1082 | 2013-04-09 |
| 1548506868 | Community Health Network Inc | Family Medicine | 615 W Smith Valley Rd, Greenwood, IN 46142-3048 | 2012-12-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| Find all providers in GREENWOOD | ||||
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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.