Gail D. Gwizdala, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301044353 Issued in MI

Practice address

3537 W Front St
Suite I
Traverse City, MI 49684-7943

Phone

(231) 935-8950

Fax

(231) 935-8868

NPI assigned

Aug 16, 2005

Last updated

Oct 20, 2011By the provider in NPPES

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novello Imaging PLC

  • Radiology Clinic/Center
  • Traverse City, MI
  • NPI 1265030068
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1891787099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE I",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847943",
            "telephone_number": "231-935-8950",
            "fax_number": "231-935-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE I",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847943",
            "telephone_number": "231-935-8950",
            "fax_number": "231-935-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIZDALA",
        "first_name": "GAIL",
        "middle_name": "D.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301044353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3254454",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Guptill, DDS
• Jackson Gutowski, PA
• Deana Guy, LPN
• Kara Guy
• Charles John Gwizdala, M.D.
• Elizabeth Gyr, MOT, OTR/L
• Erin McLain Gysbers, MOT, OTR/L
• Jeffrey H Haag, DDS, MS
• David Allen Haataja, D.C.
• Kristle Haberichter, D.O.

• Internal Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.