GMG-13 LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

GMG-13 LLC

Practice address

1707 N Prospect Ave Unit 12a
Milwaukee, WI 53202-1912

Phone

(920) 946-2505

NPI assigned

May 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregg Michael Gaylord, MD

Title

President

Phone

(920) 946-2505

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1013609213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N PROSPECT AVE UNIT 12A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021912",
            "telephone_number": "920-946-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N PROSPECT AVE UNIT 12A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021912",
            "telephone_number": "920-946-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMG-13 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-946-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Stephan Glowacki, R.N.
• Scott A Glowacki, PTA
• Sarah Glowinski, MSN, RN, AGCNS-BC
• Betty A Glynn, RDCD
• GM Transportation
• GN Hearing Care Corporation
• Gregory J. Gnadt, M.D.
• Joan T Gnadt, M.D.
• Xenayshma Zhayleene Gnas-Pacheco
• Janice A Gnas, MS.MBA.LPC.NCC.BCC

• Medical Specialty Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.