JUSTIN L GOTTLIEB (NPI# 1164498697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164498697 |
| Entity Type | Individual |
| Full Name | JUSTIN L GOTTLIEB |
| Credential | MD |
| Practice Address |
2880 University Avenue Madison WI 53705 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082637171 |
| Practice Fax Number | 6082658060 |
| Mailing Telephone | 6088295485 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2009-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 39228 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2880 UNIVERSITY AVENUE |
| City | MADISON |
| State | WI |
| Zip Code | 53705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679708994 | Ozioma Okonkwo | Clinical Neuropsychologist | 2880 University Avenue, Madison, WI 53705-7740 | 2009-05-18 |
| 1578539524 | Robert J Lazorik | Technician/Technologist | 2880 University Avenue, Madison, WI 53705 | 2006-02-28 |
| 1346216488 | David M Gamm | Ophthalmology | 2880 University Avenue, Madison, WI 53705 | 2006-02-28 |
| 1629044763 | Ronald Klein | Ophthalmology | 2880 University Avenue, Madison, WI 53705 | 2006-02-28 |
| 1023084555 | Andrew T Thliveris | Ophthalmology | 2880 University Avenue, Madison, WI 53705 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1326420258 | Laser Eye Center PC | Ophthalmology | 135 Coveshire Pl, Madison, AL 35758-3150 | 2015-06-27 |
| 1225392632 | Brandon Michael Metcalf | Ophthalmology | 7610 Mid Town Rd, #308, Madison, WI 53719-3449 | 2012-06-29 |
| 1922397967 | Schweninger Ophthalmology, PC | Ophthalmology | 34 Hughes Rd Ste B, Madison, AL 35758-3000 | 2011-03-30 |
| 1568663003 | Lloyd R. Taustine PC | Ophthalmology | 601 Broadway St Ste 10, Madison, IN 47250-3364 | 2007-05-31 |
| 1356551691 | Kevin Kosek | Ophthalmology | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2007-05-23 |
| 1760522817 | David Alan Lewis | Ophthalmology | 600 Highland Ave # F4349, F4/349, Madison, WI 53792-0001 | 2007-02-07 |
| 1851440077 | Patricia Anne Ecker | Ophthalmology | 11 Woodland Road, Madison, CT 06443 | 2007-01-09 |
| 1194891838 | Leonidas Edwin Rice Jr. | Ophthalmology | 607 W Due W Ave, Ste 115, Madison, TN 37115 | 2006-11-27 |
| 1588692636 | William Clay Ashford | Ophthalmology | 501 Baptist Dr, Suite 220, Madison, MS 39110-2030 | 2006-06-29 |
| Find all providers in MADISON | ||||
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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.