JOHN R GASSNER MD NPI 1588600696

NPI Information

NPI: 1588600696
Provider Name: JOHN R GASSNER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1789 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 499-1428
Get Directions

John R Gassner, MD is a diagnostic radiology radiology in Green Bay, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John R Gassner, MD NPI is 1588600696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1789 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 499-1428
Fax: (920) 499-5808

The NPI 1588600696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 10/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	28941020	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4723988	OTHER	MICHIGAN	MICHIGAN MEDICAID
2	1018745002	OTHER		UNITED HEALTHCARE MEDICAI
3	000002	MEDICARE OSCAR/CERTIFICATION
4	567565	OTHER		DEAN HEALTH
5	300020918	OTHER		RAILROAD MEDICARE
6	4767178	OTHER	MICHIGAN	MICHIGAN MEDICAID
7	P00226437	MEDICARE OSCAR/CERTIFICATION
8	P00028702	MEDICARE OSCAR/CERTIFICATION
9	070050001	MEDICARE ID-TYPE UNSPECIFIED
10	31496900	MEDICAID	WISCONSIN
11	1018745003	OTHER		UNITED HEALTHCARE MEDICAI
12	E73437	MEDICARE UPIN
13	14404	OTHER		DEAN HEALTH
14	072730007	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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