Active NPI
Gerard W Dynkowski, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36545-020
- Practice address
- 111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- NPI assigned
- May 16, 2006
- Last updated
- Jan 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36545-020 | WI | Primary |
Addresses
Primary practice location
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Mailing address
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Phone (414) 290-6720
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110136769 | Other | WI | MEDICARE RAILROAD |
| 32125600 | Medicaid | WI | |
| P00024347 | Other | WI | MEDICARE RAILROAD |
| 930106599 | Other | WI | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36545-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Ihc Beaver Dam Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326
5040 W Ashland Way
Franklin, WI 53132
Phone (414) 858-0100
2920 Ramada Way
Green Bay, WI 54304
Phone (920) 305-0360
6302 75th St
Kenosha, WI 53142
Phone (262) 771-0770
358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888
4260 E Towne Blvd
Madison, WI 53704
Phone (608) 244-1213
111 E Wisconsin Ave
Ste 2000
Milwaukee, WI 53202
Phone (414) 290-6700
215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600
5500 W Brown Deer Rd
Ste 400
Milwaukee, WI 53223
Phone (414) 355-4300
S30W24896 W Sunset Dr
Waukesha, WI 53189
Phone (262) 226-2243
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Racine, WI
- NPI 1477730356
-
- Emergency Medicine Physician
- Beaver Dam, WI
- NPI 1912109836
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Milwaukee, WI
- NPI 1548503436
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
dba Concentra Urgent Care
- Health Service Clinic/Center
- Addison, TX
- NPI 1508044587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1255383790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"address_2": "SUITE 2000",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"address_2": "SUITE 2000",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYNKOWSKI",
"first_name": "GERARD",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "36545-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110136769",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32125600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00024347",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930106599",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.