DR. GAYLE M KASDORF


Address: 1715 Dousman St, Green Bay, WI 54303-3211
Phone: 9204964700

DR. GAYLE M KASDORF (NPI# 1629071485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629071485
Entity Type Individual
Full Name DR. GAYLE M KASDORF
Credential M.D.
Practice Address 1715 Dousman St
Green Bay
WI 54303-3211
Mailing Address 704 S Webster Ave
Ste 500
Green Bay
WI 54301-3528
Practice Telephone 9204964700
Mailing Telephone 9204689588
Mailing Fax Number 9204681342
Enumeration Date 2005-05-24
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
24544 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30832600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
704 S Webster Ave, Ste 500, Green Bay, WI 543013528 9204689588 9204681342

Office Location

Street Address 1715 DOUSMAN ST
City GREEN BAY
State WI
Zip Code 54303-3211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508476771 Alea Meyer Audiologist 1715 Dousman St, Green Bay, WI 54303-3211 2020-08-03
1003476276 Jenna Mae Hanson Physician Assistant 1715 Dousman St, Green Bay, WI 54303-3211 2019-06-19
1932672409 Kaylee Elizabeth Hoppe Physician Assistant 1715 Dousman St, Green Bay, WI 54303-3211 2019-01-08
1205307170 Marjorie Hatszegi Nurse Practitioner 1715 Dousman St, Green Bay, WI 54303-3211 2018-12-17
1700362860 Cassandra Jean Bedore Audiologist 1715 Dousman St, Green Bay, WI 54303-3211 2018-07-12
1033632336 Shilpa Mohan Ullikashi Pediatrics 1715 Dousman St, Green Bay, WI 54303-3211 2017-07-19
1811431372 Lauryn Carlson Registered Nurse 1715 Dousman St, Green Bay, WI 54303-3211 2016-12-16
1831543529 Rachael John Occupational Therapist 1715 Dousman St, Green Bay, WI 54303-3211 2016-04-19
1780099911 Anusha Surender Internal Medicine 1715 Dousman St, Green Bay, WI 54303-3211 2014-06-26
1174934806 Humera Fatima Ahmad Surgery 1715 Dousman St, Green Bay, WI 54303-3211 2014-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952921033 Ashley Marie Vandermoss Social Worker 1601 W Mason Street, Green Bay, WI 54303 2020-04-20
1598307423 Jean Marie Castaneda Case Manager/Care Coordinator 2517 N. Court, Green Bay, WI 54303 2019-10-11
1215579552 Integrated Treatment Centers, LLC Clinic/Center 2311 W Mason Street, Green Bay, WI 54303 2019-10-08
1003460551 Affordable Dentures & Implants - Green Bay, S.c. Dentist 1800-c W. Mason Street, Green Bay, WI 54303 2019-08-01
1164940375 Kaeley Rae Blaney Student in an Organized Health Care Education/Training Program 2088 Memorial Drive #208, Green Bay, WI 54303 2017-09-07
1518498047 Treatment Providers LLC Clinic/Center 2731 N Packerland Dr Ste A, Green Bay, WI 54303 2017-03-26
1851840565 Back To Balance Chiropractic, LLC Chiropractor 110 Packerland Drive, Suite B, Green Bay, WI 54303 2016-09-23
1710361001 Matthew Lemay Acupuncturist 727 E Walnut, Suite B2, Green Bay, WI 54303 2015-07-16
1144600149 Carrie Jean Banaszak Counselor 1039 Mason Street, Green Bay, WI 54303 2015-06-04
1174921993 Kensey Meyer Occupational Therapy Assistant 1555 Dousman Road, Seymour, WI 54303 2014-12-10
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871583203 Endocrinology Associates of Green Bay Sc Internal Medicine 1901 S Webster Ave, Suite 8, Green Bay, WI 54301-2281 2005-10-26
1932102787 Pamela C Baeten Internal Medicine 704 S Webster Ave, Ste 500, Green Bay, WI 54301-3528 2005-05-24
1821091679 Jerald P Marifke Internal Medicine 1821 S Webster Ave, Green Bay, WI 54301-2253 2005-05-24
1760852677 Benson Richardson Internal Medicine 622 Bodart St, Green Bay, WI 54301-4923 2015-10-05
1043485139 Victor Adalbert Geraldez De Villa Internal Medicine 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 2008-04-29
1841209806 Ferdinand C Casis Internal Medicine 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 2006-08-07
1205803681 Sarah J Swarts Internal Medicine 2845 Greenbrier Rd, Green Bay, WI 54311-6519 2006-03-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649595588 Irina Ciubotaru Internal Medicine 3807 Spring St Ste 310, Mount Pleasant, WI 53405-1667 2010-04-05
1477876068 Gretajo Northrop Internal Medicine 226 N Meadow Ln, Madison, WI 53705-3331 2010-03-10
1457588246 Earl Shrago Internal Medicine 1415 Linden Dr, Univ. Wisc., Madison, WI 53706-1527 2009-06-18
1679735997 Diabetes Osteoporosis Thyroid Endocrine Center, LLC Internal Medicine 1532 S Green Bay Rd Ste 300, Mount Pleasant, WI 53406-4410 2008-06-27
1184897357 Eshraq Al-jaghbeer Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 2008-04-09
1205028487 Jolita Satkus Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 2007-08-13
1437206893 Farah Salahuddin Internal Medicine 3601 30th Avenue, Suite 203, Endocrine Clinic of Kenosha, Kenosha, WI 53144-1632 2007-01-05
1306906664 Hak-joong Kim Internal Medicine 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 2006-12-09
1093823130 Thomas Kelly Internal Medicine 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 2006-08-28
1386759389 Steven Rabinowe Internal Medicine 4077 Lighthouse Dr, Racine, WI 53402-3113 2006-08-20
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Competitor

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City GREEN BAY
Zip Code 54303

Improve Information

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Dataset Information

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.

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