Active NPI
David L Gearhart, M.D.
- Obstetrics & Gynecology Physician
- Minocqua, WI
National Provider Identifier
1386655140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 73367
- Practice address
- 9576 Highway 70
Minocqua, WI 54548-9067 - Phone
- (715) 358-1000
- NPI assigned
- Aug 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 33401 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 73367 | WI | Primary |
Addresses
Primary practice location
9576 Highway 70
Minocqua, WI 54548-9067
Mailing address
9576 Highway 70
Minocqua, WI 54548-9067
Phone (715) 358-1000
Other practice location 1
3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8000
Other practice location 2
522 N New Ballas Rd Ste 201
Saint Louis, MO 63141-6819
Phone (314) 569-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386655140 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgearhart382320@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- dgearhart1496172@direct.trinity-health.org
- dgearhart352075@direct-prd.stelizabeth.com
- david.gearhart@marshfieldclinichealthsystem.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1386655140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9576 HIGHWAY 70",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545489067",
"telephone_number": "715-358-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9576 HIGHWAY 70",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545489067",
"telephone_number": "715-358-1000"
}
],
"practiceLocations": [
{
"address_1": "3400 E Racine St",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535462344",
"country_code": "US",
"telephone_number": "608-373-8000",
"fax_number": "608-371-8928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "522 N New Ballas Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631416819",
"country_code": "US",
"telephone_number": "314-569-1223",
"fax_number": "314-569-1150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEARHART",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "33401",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "73367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386655140",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgearhart382320@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dgearhart382320@direct-ehr-ssmhc.com",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minocqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.