| NPI | 1154504017 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-12-13 |
| Last Updated | 2025-07-14 |
| Mailing Address | 801 York St Manitowoc, WI 54220-4630 United States Phone: (920) 663-9008 | Fax: (920) 684-1439 📍 View Map |
| Primary Practice Address | 9020 76th St Ste E Pleasant Prairie, WI 53158-1976 United States Phone: (262) 697-8030 | Fax: (262) 697-6157 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207N00000X – Dermatology | IL | 125049062 |
| Yes | 207N00000X – Dermatology | WI | 53248-020 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1154504017
Platina Coy Gershtenson MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154504017. The primary specialty listed is Dermatology. The provider is located in Pleasant Prairie, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154504017?
NPI 1154504017 belongs to Platina Coy Gershtenson MD, a Dermatology in Pleasant Prairie, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154504017 active?
The current status of NPI 1154504017 in the NPPES registry is Active. The record was last updated on 2025-07-14.
What specialty is NPI 1154504017?
NPI 1154504017 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154504017?
You can verify NPI 1154504017 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154504017?
The primary practice address on file for NPI 1154504017 is 9020 76th St Ste E, Pleasant Prairie, WI 53158-1976. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154504017 issued?
NPI 1154504017 was first issued (enumerated) on 2007-12-13. The NPPES record was last updated on 2025-07-14.
Practice Location Map
Platina Coy Gershtenson is located at 9020 76th St Ste E, Pleasant Prairie, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Platina Coy Gershtenson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1154504017. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | 125049062 | IL |
| Dermatology | 53248-020 | WI |