Active NPI
Lisa Gamalski, PA-C
- Physician Assistant
- Milwaukee, WI
National Provider Identifier
1528217536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2330
- Practice address
- 9000 W Wisconsin Ave
Pediatric Orthopaedic Surgery
Milwaukee, WI 53226-4874 - Phone
- (414) 337-7300
- Fax
- (414) 337-7337
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2330 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Pediatric Orthopaedic Surgery
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Pediatric Orthopaedic Surgery
Milwaukee, WI 53226-4874
Phone (414) 337-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528217536 | Medicaid | WI |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2330 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Specialty Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- lgamalski13377@direct.chw.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1942970405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1528217536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC ORTHOPAEDIC SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-337-7300",
"fax_number": "414-337-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC ORTHOPAEDIC SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-337-7300",
"fax_number": "414-337-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMALSKI",
"first_name": "LISA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528217536",
"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 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.