Active NPI
William James Gaertner, M.D.
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1689887010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23319
- Practice address
- 3930 S Lake Dr
Unit 501
Milwaukee, WI 53235-5238 - Phone
- (414) 483-2808
- Fax
- (414) 747-8874
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23319 | WI | Primary |
Addresses
Primary practice location
3930 S Lake Dr
Unit 501
Milwaukee, WI 53235-5238
Mailing address
3930 S Lake Dr
Unit 501
Milwaukee, WI 53235-5238
Phone (414) 483-2808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23319 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Dynamics, LLC | Past | Accepting new patients |
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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Milwaukee, WI
- NPI 1255389581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689887010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 S LAKE DR",
"address_2": "UNIT 501",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532355238",
"telephone_number": "414-483-2808",
"fax_number": "414-747-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 S LAKE DR",
"address_2": "UNIT 501",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532355238",
"telephone_number": "414-483-2808",
"fax_number": "414-747-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAERTNER",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "23319",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.