GREGORY J. KNUDSON M.D. – NPI #1457395519
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

GREGORY KNUDSON is a radiologist located in APPLETON, WI. NPPES has assigned the NPI number 1457395519 to GREGORY KNUDSON on June 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Apr 03, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREGORY KNUDSON below.

NPI Profile for
GREGORY J. KNUDSON

NPI Number
1457395519
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GREGORY J. KNUDSON
Credentials
M.D.
Primary location
2500 E ENTERPRISE AVE
UNIT C
APPLETON, WI 54913
Phone: (920) 739-5642 Fax: (920) 968-0259
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for GREGORY KNUDSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI31529000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
WI 29727

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.