Kevin J Gassner, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

27632 Issued in WI

Practice address

2920 Superior Ave
Sheboygan, WI 53081-1944

Phone

(920) 458-3791

Fax

(920) 458-3783

NPI assigned

Oct 7, 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

Not listed in the public Medicare enrollment file

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.

• Sheboygan Internal Medicine Associates, SC

  • Internal Medicine Physician
  • Sheboygan, WI
  • NPI 1922161728
  NPD
• Sheboygan Surgical Associates, S.C.

  • Surgery Physician
  • Sheboygan, WI
  • NPI 1972629145
  NPD

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1275521965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811944",
            "telephone_number": "920-458-3791",
            "fax_number": "920-458-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811944",
            "telephone_number": "920-458-3791",
            "fax_number": "920-458-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSNER",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "27632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30754800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Gallagher, LPC
• Jody A Gallaway, PSY.D.
• Badri N Ganju, MD
• Gary R Scherr, MD
• Michelle Rose Gasper
• Kyle R Gassner, M.D.
• GBR Sheboygan LLC
• Max Jason Geers, M.D.
• Charles J Gehring Jr., MD
• Kenneth Edward Geiger, D.D.S.

• Orthopaedic Surgery Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.