Gaps Health Wi LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GAPS HEALTH WI LTD

Practice address

3821 S Chicago Ave
South Milwaukee, WI 53172-3712

Phone

(248) 470-9509

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Sonali Wilborn, MD

Title

Physician

Phone

(682) 206-3118

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1033760574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 S CHICAGO AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723712",
            "telephone_number": "248-470-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAPS HEALTH WI LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "WILBORN",
        "authorized_official_first_name": "SONALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "682-206-3118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FMG South Chicago Avenue Wisconsin LLC
• Melvin F Foley, DDS
• Patrick Foss, MD
• Darrell A Francis, DDS
• Franciscan Villa of South Milwaukee, Inc.
• Emily Gerber, OTR
• Daniel M Glampe, PT, DPT
• Samantha Gomez
• Austin Gonzalez-Randolph, LP
• Catherine Goodson, DPT

• General Practice Physician in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.