DR. GREGORY E CROVETTI (NPI# 1750311999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750311999 |
Entity Type | Individual |
Full Name | DR. GREGORY E CROVETTI |
Credential | MD |
Practice Address |
7300 Washington Ave Ste B Mount Pleasant WI 53406-6525 |
Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
Practice Telephone | 2623216060 |
Mailing Telephone | 4143892377 |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 036096721 | IL | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 036096721 | IL | Allopathic & Osteopathic Physicians |
Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
68469 | WI | Allopathic & Osteopathic Physicians |
N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
036-096721 | IL | Allopathic & Osteopathic Physicians |
N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
360967212 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100073695 | 05 | |
IL | BCBS GROUP | 1619414 | 01 |
IL | BLUE SHIELD-IL | 036096721 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1419 Peterson Rd, Libertyville, IL 600481001 | 8472470547 | 8554694263 |
Street Address |
7300 WASHINGTON AVE STE B |
City | MOUNT PLEASANT |
State | WI |
Zip Code | 53406-6525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
Find all providers in zip 53406 |
Taxonomy Code | 207RS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sports Medicine |
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
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 |
---|---|---|---|---|
1174510622 | James R Demarco | Internal Medicine | 180 Wingo Way Ste 301, Mount Pleasant, SC 29464-1812 | 2005-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265785372 | Rania Louise Dempsey | Internal Medicine | 405 Genesee St, Delafield, WI 53018-1814 | 2012-10-26 |
1811276645 | Michael L Breunig | Internal Medicine | 2501 W Beltline Hwy Ste 601, Madison, WI 53713 | 2011-08-10 |
1114205101 | Adnan Zaidi | Internal Medicine | 1640 E Sumner St, Hartford, WI 53027-2684 | 2011-07-26 |
1013203546 | Mina Marie Demarco | Internal Medicine | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2011-06-23 |
1598081473 | Andrew M Watson | Internal Medicine | 621 Science Dr, Madison, WI 53711-1074 | 2010-04-16 |
1467677278 | Douglas Connor | Internal Medicine | 820 E Grant St, Appleton, WI 54911-3483 | 2007-04-16 |
1144254780 | Margaret A. Brooks | Internal Medicine | 621 Science Dr, Madison, WI 53711 | 2006-07-10 |
1285681593 | Jennifer S Weibel | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2006-05-30 |
1093784241 | David T Bernhardt | Internal Medicine | 2880 University Ave, Madison, WI 53705 | 2006-03-17 |
City | MOUNT PLEASANT |
Zip Code | 53406 |
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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.