The Caring Doctor, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38713-020 Issued in WI

Legal business name

THE CARING DOCTOR, LLC

Practice address

340 N Green Bay Ave
Gillett, WI 54124-9325

Phone

(920) 855-2823

Fax

(920) 855-6343

NPI assigned

Apr 26, 2007

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Genadi Maltinski, M.D.

Title

Ceo

Phone

(920) 855-2823

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1962622522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "KRAKOW",
            "state": "WI",
            "postal_code": "541370134",
            "telephone_number": "920-855-2823",
            "fax_number": "920-855-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N GREEN BAY AVE",
            "city": "GILLETT",
            "state": "WI",
            "postal_code": "541249325",
            "telephone_number": "920-855-2823",
            "fax_number": "920-855-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARING DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MALTINSKI",
        "authorized_official_first_name": "GENADI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-855-2823",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38713-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32368600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENADI MALTINSKI",
            "identifier": "1710966288",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Megan Valley
• Molly Vanderbloemen, OTR
• Wakoda Trails LLC
• Woodlands of Gillett, Inc.

• Family Medicine Physician in Gillett, WI
• Providers in Gillett, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.