Gerald A. Gadowski, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5101006796 Issued in MI

Practice address

560 W Mitchell St
Suite 400
Petoskey, MI 49770-2275

Phone

(231) 487-2490

Fax

(231) 487-6055

NPI assigned

Jul 26, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1407879620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 400",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2490",
            "fax_number": "231-487-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 400",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2490",
            "fax_number": "231-487-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOWSKI",
        "first_name": "GERALD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101006796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDIVIDUAL PI",
            "identifier": "0652400274",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P45990",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4355729",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Fry, D.M.D., M.S.
• Nathan David Fry, DMD
• Gary Lee Fuchs, MD
• Katie Fulcher
• Fyzical Therapy and Balance Center by the Bay
• William James Gallo, DDS
• James Randall Galloway, DO
• Lisa Anne Galloway, D.O.
• Jazmin Garcia, LMSW
• Gary H. Shaw, M.D., P.C.

• Cardiovascular Disease Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.