Gojko D. Stula, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14406 Issued in WI

Practice address

3238 S 16TH St
Milwaukee, WI 53215-4535

Phone

(414) 643-4430

Fax

(414) 643-4693

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ascension Medical Group-Southeast Wisconsin Inc

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment NPD
• Lifesteps Wellness Clinic

  • Internal Medicine Physician
  • Shorewood, WI
  • NPI 1104005248
  NPD (past) Authorized official
• Commonwealth Medical Group, LLC

  • Internal Medicine Physician
  • West Allis, WI
  • NPI 1477500361
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1235123712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154535",
            "telephone_number": "414-643-4430",
            "fax_number": "414-643-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154535",
            "telephone_number": "414-643-4430",
            "fax_number": "414-643-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULA",
        "first_name": "GOJKO",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "14406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32729500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Student Health Service
• Jane Stueber, APSW
• Dana Stuefen, LCSW
• Angela Rose Stueland, DC
• Kate L Stuewe, MS, CGC
• Diane M Stumvoll, NP
• Stupendous Medical Hair Therapy LLC
• Andrea E Sturgeon, APNP
• Daniel Allen Sturgill, M.D.
• Adam Sturtz, PA-C

• Internal Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.