JOHN W. GUCCIARDI M.D. NPI 1760417430

NPI Information

  • NPI: 1760417430
  • Provider Name: JOHN W. GUCCIARDI, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1185 CORPORATE CENTER DR
    PROHEALTH CARE MEDICAL ASSOCIATES
    OCONOMOWOC, WI
    ZIP 53066
  • Phone: (262) 928-8400

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NPI Details

John W. Gucciardi, M.D. is a family medicine in Oconomowoc, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John W. Gucciardi, M.D. NPI is 1760417430. 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:

1185 CORPORATE CENTER DR
PROHEALTH CARE MEDICAL ASSOCIATES
OCONOMOWOC, WI
ZIP 53066-887
Phone: (262) 928-8400

The NPI 1760417430 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 4/24/2012.

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
1207Q00000XFamily Medicine28882WISCONSINYes

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
1P00462701OTHERWISCONSINRR MEDICARE
268635-0290MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
331474600MEDICAIDWISCONSIN
4E73414MEDICARE UPINWISCONSIN
573500-0098MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
601994-0108MEDICARE PINWISCONSIN
7683750620MEDICARE PIN
846236-0108MEDICARE PINWISCONSIN

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: 11/21/2025

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