DR. BOB MATTHEW GOUNTIS (NPI# 1477607612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477607612 |
| Entity Type | Individual |
| Full Name | DR. BOB MATTHEW GOUNTIS |
| Credential | D.C. |
| Practice Address |
1033 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3442 |
| Practice Telephone | 4147781455 |
| Practice Fax Number | 4148104052 |
| Mailing Telephone | 4147781455 |
| Mailing Fax Number | 4148104052 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3517-012 | WI | Chiropractic Providers |
| Street Address |
1033 N MAYFAIR RD SUITE 303 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043287717 | Robert Michael Molloy | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1629513577 | Jennifer Ann Eggert | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2017-01-02 |
| 1619350824 | Heather Chernetski | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-07-07 |
| 1962880856 | Meagan Grosskreutz | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-05-11 |
| 1518368299 | Lauryn Firkus | Nurse Practitioner | 1033 N Mayfair Rd, Suite # 101, Wauwatosa, WI 53226-3442 | 2014-09-12 |
| 1225439136 | Elizabeth Bakos | Counselor | 1033 N Mayfair Rd, Suite305, Wauwatosa, WI 53226-3442 | 2014-09-10 |
| 1639515000 | Milwaukee Gi Specialists Sc | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2013-05-13 |
| 1780952986 | Sarah Ann Honeyager | Physician Assistant | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2011-12-02 |
| 1821315789 | Karissa Kesselhon | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2010-04-30 |
| 1689813545 | St Nicholas Health Institute Sc | Chiropractor | 1033 N Mayfair Rd, Suite 303, Wauwatosa, WI 53226-3442 | 2009-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1215335047 | Rebecca Weidner | Chiropractor | 10625 W North Ave Ste Ll3, Wauwatosa, WI 53226-2315 | 2014-12-10 |
| 1508135708 | Wisconsin Pain & Rehab, LLC | Chiropractor | 2100 N Mayfair Rd, 201, Wauwatosa, WI 53226-2239 | 2011-12-19 |
| 1649411703 | Performance Chiropractic Center, S.c. | Chiropractor | 11430 W Bluemound Rd Ste 203, Wauwatosa, WI 53226-4050 | 2009-03-18 |
| 1265553275 | Olm Chiropractic Clinic Sc | Chiropractor | 7229 W Center Street, Wauwatosa, WI 53210-1126 | 2007-04-03 |
| 1336276625 | Apps Chiropractic and Wellness Center Inc | Chiropractor | 933 N Mayfair Rd Ste 107, Wauwatosa, WI 53226-3432 | 2007-02-27 |
| 1770619728 | Lana Marie Olm | Chiropractor | 7229 West Center Street, Wauwatosa, WI 53210-1126 | 2007-02-26 |
| 1851447759 | Dr Loofboro Sc | Chiropractor | 11038 W Capital Drive, Wauwatosa, WI 53222 | 2007-01-25 |
| 1467507160 | Dr. Liz Hood, S.c. | Chiropractor | 2645 N. Mayfair Rd., Suite 140, Wauwatosa, WI 53226-2239 | 2007-01-24 |
| 1093879819 | Christopher James Beyer | Chiropractor | 6331 W North Ave, Wauwatosa, WI 53213-2012 | 2006-12-19 |
| 1679634851 | Herbert E Kuehnemann | Chiropractor | 6610 W North Avenue, Wauwatosa, WI 53213 | 2006-12-12 |
| Find all providers in WAUWATOSA | ||||
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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.