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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
24544 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30832600 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
704 S Webster Ave, Ste 500, Green Bay, WI 543013528 | 9204689588 | 9204681342 |
Street Address |
1715 DOUSMAN ST |
City | GREEN BAY |
State | WI |
Zip Code | 54303-3211 |
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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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 Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
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. |
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 |
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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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.