DR. DAN GAVRILA (NPI# 1992818678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992818678 |
Entity Type | Individual |
Full Name | DR. DAN GAVRILA |
Credential | MD |
Practice Address |
3501 Cranberry Blvd Marshfield Clinic- Weston Center Weston WI 54476 |
Practice Telephone | 7153931220 |
Mailing Telephone | 7153931220 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2008-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 32313 | IA | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
51801-20 | WI | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32313 | IA | Allopathic & Osteopathic Physicians |
Street Address |
3501 CRANBERRY BLVD MARSHFIELD CLINIC- WESTON CENTER |
City | WESTON |
State | WI |
Zip Code | 54476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972500718 | William J Moran | Otolaryngology | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2005-07-07 |
1356956015 | Stacey Lee Meyer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-09-10 |
1992336655 | Mchs Hospitals, Inc. | Clinic/Center | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-01-31 |
1548804511 | Alyssa Anne Hovda | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2019-11-03 |
1144875824 | Rebecca Ann Kollross | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476 | 2019-08-08 |
1891266060 | Laura Lauer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-12-16 |
1356816201 | Khamal Misra | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-10-08 |
1164915971 | Crystal Farrand | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-06-07 |
1336663863 | Elijah Blair | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2017-07-26 |
1275915597 | Kari Mizgalski | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2015-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
Find all providers in zip 54476 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
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1518221886 | Stephen Paul Julien | Internal Medicine | 3157 Inverness, Weston, FL 33332-1817 | 2012-07-01 |
1245473560 | Juan Fernando Aleman | Internal Medicine | 805 Lake Blvd, Weston, FL 33326-3536 | 2009-04-16 |
1710260260 | North Broward Hospital District | Internal Medicine | 2300 N Commerce Pkwy, Suite 319, Weston, FL 33326-3257 | 2011-09-21 |
1447493275 | Elsy Viviana Navas | Internal Medicine | 2950 Cleveland Clinic Blvd, Cardiology Department, Weston, FL 33331-3609 | 2009-04-09 |
1861685919 | Carmel Celestin | Internal Medicine | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2007-08-22 |
1689877243 | David Lopez | Internal Medicine | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2007-06-08 |
1073637286 | Mehrdad M Farid | Internal Medicine | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2007-03-16 |
1205945177 | Nicholas P Wyskoarko | Internal Medicine | 3501 Cranberry Blvd, Weston, WI 54476 | 2006-08-30 |
1659393791 | Marianela Areces | Internal Medicine | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2006-07-25 |
1285668731 | Mary Beth Seidlitz | Internal Medicine | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2006-07-10 |
Find all providers in WESTON |
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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.