DR. GREGORY D GAVRIC (NPI# 1326115072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326115072 |
| Entity Type | Individual |
| Full Name | DR. GREGORY D GAVRIC |
| Credential | D.C. |
| Practice Address |
7003 S Howell Ave Ste 1300 Oak Creek WI 53154 |
| Mailing Address |
7003 S Howell Ave Ste 1300 Oak Creek WI 53154-1402 |
| Practice Telephone | 4147628626 |
| Practice Fax Number | 4147628765 |
| Mailing Telephone | 4147628626 |
| Mailing Fax Number | 4147628765 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2141 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38840600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 E Drexel Ave, Oak Creek, WI 531542123 | 4147628626 | 4147628765 |
| Street Address |
7003 S HOWELL AVE STE 1300 |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932272507 | Daniel Edward Hyatt | Chiropractor | 7003 S Howell Ave Ste 1300, Oak Creek, WI 53154-1402 | 2006-11-15 |
| 1174683163 | Gavric Chiropractic Clinic, LLC | Chiropractor | 7003 S Howell Ave Ste 1300, Oak Creek, WI 53154 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013554708 | Alexander C Burbach | Chiropractor | 7003 S Howell Ave # 1300b, Oak Creek, WI 53154-1402 | 2019-12-02 |
| 1326558768 | John Vincent Donlon IIi | Chiropractor | 8880 S Howell Ave Ste 820-840, Oak Creek, WI 53154-8632 | 2017-10-11 |
| 1205908829 | Holly Marie Barchman | Chiropractor | 1900 W Ryan Rd, Oak Creek, WI 53154-8233 | 2006-11-15 |
| 1932272507 | Daniel Edward Hyatt | Chiropractor | 7003 S Howell Ave Ste 1300, Oak Creek, WI 53154-1402 | 2006-11-15 |
| 1962589689 | Christopher Scott Druml | Chiropractor | 7280 S 13th St, Suite 103, Oak Creek, WI 53154-1831 | 2006-11-01 |
| 1053357293 | Jeffrey A Weide | Chiropractor | 7280 S 13th St Ste103, Oak Creek, WI 53154-1831 | 2006-06-22 |
| 1043830284 | Chiro One Wellness Center of Oak Creek LLC | Chiropractor | 8880 S Howell Ave Ste 820-840, Oak Creek, WI 53154-8632 | 2020-04-17 |
| 1588133565 | Cody Robert Leanna | Chiropractor | 1900 W Ryan Rd, Oak Creek, WI 53154-8233 | 2018-11-19 |
| 1083046320 | Eleah Jennifer Glander | Chiropractor | 1900 W Ryan Rd, Oak Creek, WI 53154-8233 | 2013-08-08 |
| 1124387303 | Hyatt Chiropractic Sc | Chiropractor | 7001 S Howell Ave, Suite 700, Oak Creek, WI 53154-1402 | 2012-05-09 |
| Find all providers in OAK CREEK | ||||
Please comment or provide details below to improve the information on DR. GREGORY D GAVRIC.
| 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.