DR. GREGORY E CROVETTI


Address: 7300 Washington Ave Ste B, Mount Pleasant, WI 53406-6525
Phone: 2623216060

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 100073695 05
IL BCBS GROUP 1619414 01
IL BLUE SHIELD-IL 036096721 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1419 Peterson Rd, Libertyville, IL 600481001 8472470547 8554694263

Office Location

Street Address 7300 WASHINGTON AVE STE B
City MOUNT PLEASANT
State WI
Zip Code 53406-6525

Providers in the same zip code

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 Information

Taxonomy Code 207RS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sports Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174510622 James R Demarco Internal Medicine 180 Wingo Way Ste 301, Mount Pleasant, SC 29464-1812 2005-09-30

Providers in the same taxonomy and state

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

Competitor

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City MOUNT PLEASANT
Zip Code 53406

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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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