DR. STEPHANIE JEAN GUNDERSON (NPI# 1366785065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366785065 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE JEAN GUNDERSON |
| Credential | MD |
| Practice Address |
W129n7055 Northfield Dr Menomonee Falls WI 53051-0538 |
| Practice Telephone | 2622535400 |
| Practice Fax Number | 2622533399 |
| Mailing Telephone | 2622535400 |
| Mailing Fax Number | 2622533399 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 63044 | WI | Allopathic & Osteopathic Physicians |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
63044 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1366785065 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9200 W Wisconsin Ave, Milwaukee, WI 532263522 | 4148056600 |
| Street Address |
W129N7055 NORTHFIELD DR |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-0538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737823 | Alicja D Lisak | Family Medicine | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2005-08-12 |
| 1366043051 | Gary Homeier | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-11-08 |
| 1871126805 | Olivia Diedrick | Social Worker | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-02-18 |
| 1760982763 | Mark Mueller | Nurse Practitioner | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2018-02-15 |
| 1518484344 | Kathryn Schlotthauer | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2017-08-23 |
| 1013450006 | Froedtert Memorial Lutheran Hospital | General Acute Care Hospital | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2016-11-23 |
| 1346619384 | Kristin Lerner | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-21 |
| 1023486305 | Daniel Bruss | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-03 |
| 1326435868 | Rebecca Mallow | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-04-22 |
| 1336534056 | Whitney Anne Potharla | Nurse Practitioner | W129n7055 Northfield Dr, Building A, Suite 203, Menomonee Falls, WI 53051-0538 | 2015-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356517122 | Jayme Susan Bosler | Obstetrics & Gynecology | W129n7055 Northfield Dr, Reproductive Endocrinology/infertility, Menomonee Falls, WI 53051-0538 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182859 | Vios Fertility Institute Chicago | Obstetrics & Gynecology | 2500 N Mayfair Rd Ste 420, Wauwatosa, WI 53226-1443 | 2018-01-22 |
| 1558571950 | Christina E Broadwell | Obstetrics & Gynecology | 3293 Prairie Glade Rd, Middleton, WI 53562-1774 | 2007-05-23 |
| 1992773485 | Elizabeth A Pritts | Obstetrics & Gynecology | 3146 Deming Way, Middleton, WI 53562-1461 | 2006-03-09 |
| 1558672170 | Katherine A. Green | Obstetrics & Gynecology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2010-06-29 |
| 1699093740 | Laura G. Hollingsworth Cooney | Obstetrics & Gynecology | 2365 Deming Way, Middleton, WI 53562-5512 | 2010-05-13 |
| 1548406135 | Circle of Life Womens Healthcare Sc | Obstetrics & Gynecology | 2025 W Oklahoma Ave, Suite 122, Milwaukee, WI 53215-4455 | 2009-01-02 |
| 1780889618 | Bala Bhagavath | Obstetrics & Gynecology | 2365 Deming Way, Middleton, WI 53562-5512 | 2007-06-20 |
| 1023108511 | Aida Shanti | Obstetrics & Gynecology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2006-10-13 |
| 1497862643 | K. Paul Katayama, Md Sc Dba Advanced Institute of Fertility | Obstetrics & Gynecology | 2801 W Kinnickinnic River Pkwy, Suite 535, Milwaukee, WI 53215-3669 | 2006-08-24 |
| 1063441277 | Krynn Keller Buckley | Obstetrics & Gynecology | 507 S Monroe St, Lancaster, WI 53813-2054 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
Please comment or provide details below to improve the information on DR. STEPHANIE JEAN GUNDERSON.
| 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.