DR. JAMES C GARITI (NPI# 1457562944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457562944 |
| Entity Type | Individual |
| Full Name | DR. JAMES C GARITI |
| Credential | MD |
| Practice Address |
245 S Executive Dr Suite 350 Brookfield WI 53005-4204 |
| Mailing Address |
2001 Butterfield Rd Suite 300 Downers Grove IL 60515-1050 |
| Practice Telephone | 2623731647 |
| Practice Fax Number | 2623731650 |
| Mailing Telephone | 6307252832 |
| Mailing Fax Number | 8774895993 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036121623 | IL | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
46635-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 46635020 | WI | Allopathic & Osteopathic Physicians |
| N | 202K00000X | Phlebology | 46635-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP MEDICARE PTAN | 789510 | 01 |
| IL | GROUP MEDICARE PTAN | 789511 | 01 |
| WI | MECICARE RAILROAD INDIVIDUAL PTAN | P01658759 | 01 |
| WI | GROUP MEDICARE PTAN | 000068227 | 01 |
| WI | MEDICARE RAILROAD GROUP PTAN | DE2420 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506307 | James T Gariti Sr. | Emergency Medicine | 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901-9257 | 2005-11-22 |
| Street Address |
245 S EXECUTIVE DR SUITE 350 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866828 | Fi-med Management Inc | General Practice | 333 Bishops Way Ste 122, Brookfield, WI 53005-6209 | 2018-09-25 |
| 1952478927 | Daniel Thomas O'connor | General Practice | 2865 N Brookfield Rd, Brookfield, WI 53045-3026 | 2006-11-28 |
| 1558751248 | Otr Medical Associates | General Practice | 2865 N Brookfield Rd, Brookfield, WI 53045-3026 | 2015-02-02 |
| 1114235173 | Pepito C & Minerva C Rivera Ptr | General Practice | 308 N Main St, Brookfield, MO 64628-1601 | 2010-09-23 |
| 1861552044 | Richard R Schaefer | General Practice | 17100 W North Ave, Brookfield, WI 53005 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458025 | Lisa M Bender | General Practice | 213 Bergamont Blvd Apt 101, Oregon, WI 53575-3722 | 2020-02-08 |
| 1093368607 | New Medical Center, S.c. | General Practice | 160 Gateway Dr, Ste A, Waupun, WI 53963-2276 | 2019-07-23 |
| 1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
| 1073017265 | Vincent Lucas David Fryer | General Practice | 2329 Sunny Ln Apt C, Suamico, WI 54313-7821 | 2018-03-21 |
| 1952846982 | Practice Partners Healthcare Group, S.c. | General Practice | 1434 Thelen Farm Trl, Houlton, WI 54082-2062 | 2016-12-29 |
| 1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
| 1306237417 | Aaron Rosenberg | General Practice | 1516 W Mequon Rd Ste 103, Mequon, WI 53092-3264 | 2015-02-10 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
| 1376829135 | Ronald Arthur Backus | General Practice | 4185 W Lake Elwood Rd, Florence, WI 54121-9158 | 2011-10-25 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.