WATERTOWN REGIONAL MEDICAL CENTER INC (NPI# 1043499080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043499080 |
| Entity Type | Organization |
| Organization Name | WATERTOWN REGIONAL MEDICAL CENTER INC |
| Other Organization Name | UWHP WRMC JOHNSON CREEK CLINIC |
| Practice Address |
540 Village Walk Ln Johnson Creek WI 53038-9554 |
| Mailing Address |
Po Box 684088 Chicago IL 60695-4088 |
| Practice Telephone | 9206996200 |
| Mailing Telephone | 9206996200 |
| Mailing Fax Number | 9202624640 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MR. ROBERT JAMES KLUGE (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Telephone | 9202624784 |
| Is Organization Subpart | Y |
| Parent Organization Name | WATERTOWN REGIONAL MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21267000 | 05 |
| Other Name | Type Code |
|---|---|
| UWHP WRMC Johnson Creek Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689853210 | Watertown Regional Medical Center Inc | Family Medicine | 334 S Western Ave, Juneau, WI 53039-1163 | 2007-10-31 |
| 1578747580 | Watertown Regional Medical Center Inc | Family Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2007-12-27 |
| 1427232495 | Watertown Regional Medical Center Inc | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2007-12-26 |
| 1053590687 | Watertown Regional Medical Center Inc | Family Medicine | 1025 Mulberry St, Lake Mills, WI 53551-1304 | 2007-10-31 |
| 1326227950 | Watertown Regional Medical Center Inc | Durable Medical Equipment & Medical Supplies | 125 Hospital Dr, Watertown, WI 53098-3303 | 2007-10-31 |
| 1154500783 | Watertown Regional Medical Center Inc | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2007-10-31 |
| 1962681593 | Watertown Regional Medical Center Inc | Obstetrics & Gynecology | 128 Hospital Dr, Watertown, WI 53098-3304 | 2007-10-31 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 1194938977 | Watertown Regional Medical Center Inc | Clinic/Center | 1684 S Church St, Watertown, WI 53094-6406 | 2007-05-08 |
| 1821086034 | Watertown Regional Medical Center Inc | Clinic/Center | 129 Hospital Dr, Watertown, WI 53098-3334 | 2005-10-11 |
| Street Address |
540 VILLAGE WALK LN |
| City | JOHNSON CREEK |
| State | WI |
| Zip Code | 53038-9554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295865855 | Herslof's, Inc | Technician/Technologist | 540 Village Walk Ln, Suite G, Johnson Creek, WI 53038-9554 | 2007-03-06 |
| 1417226168 | Benjamin Joseph Altmann | Chiropractor | 540 Village Walk Ln, Suite B, Johnson Creek, WI 53038-9554 | 2011-12-27 |
| 1851660559 | Precision Chiropractic, LLC | Chiropractor | 540 Village Walk Ln, Suite B, Johnson Creek, WI 53038-9554 | 2011-12-26 |
| 1003146929 | Watertown Regional Medical Center, Inc | Optometrist | 540 Village Walk Ln, Ste G, Johnson Creek, WI 53038-9554 | 2009-12-29 |
| 1821232760 | Jonathon J Melk | Dentist | 540 Village Walk Ln, Suite E, Johnson Creek, WI 53038-9554 | 2009-04-22 |
| 1811179559 | Shonna Marie Jorgensen | Dentist | 540 Village Walk Ln, Suite E, Johnson Creek, WI 53038-9554 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540863 | Spencer Agnew | Physical Therapist | 540 Village Walk Ln Ste E, Johnson Creek, WI 53038 | 2018-06-01 |
| 1326345166 | Crossroads Chiropractic Johnson Creek LLC | Chiropractor | 545 Village Walk Ln, Suite C, Johnson Creek, WI 53038 | 2011-02-14 |
| 1164727962 | Kimberly D Turner | Chiropractor | 545 Village Walk Lane, Suite C, Johnson Creek, WI 53038 | 2011-01-26 |
| 1164756110 | Dousman Chiropractic Clinic Sc | Chiropractor | W4489 Ambrose Rd, Johnson Creek, WI 53038 | 2009-09-23 |
| 1871653246 | Daniel A Harvey | Dentist | 113 Depot St, Johnson Creek, WI 53038 | 2006-12-08 |
| 1225124571 | Johnson Creek Dental | Dentist | 540 Village Walk Lane, Suite E, Johnson Creek, WI 53038 | 2006-10-05 |
| 1609933001 | Johnson Creek Fire Ems Dept. | Ambulance | 125 Depot St., Johnson Creek, WI 53038-0451 | 2007-01-03 |
| 1043757073 | Lyndsey Webster | Speech-Language Pathologist | 435 Hillary Cir Apt D, Johnson Creek, WI 53038-9308 | 2017-01-29 |
| 1932608643 | Johnson Creek Counseling & Wellness Center LLC | Clinic/Center | 520 Hartwig Blvd, Johnson Creek, WI 53038-9314 | 2018-02-08 |
| 1578530705 | Michael E Eastman | Internal Medicine | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2006-03-07 |
| Find all providers in zip 53038 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548237076 | James Milford | Family Medicine | 480 Village Walk Ln, Johnson Creek, WI 53038-9462 | 2006-03-03 |
| 1760931026 | Three Oaks Health S.c. | Family Medicine | 480 Village Walk Ln Ste F, Johnson Creek, WI 53038-9540 | 2016-09-28 |
| 1780791285 | David A Misorski | Family Medicine | 400 Doctors Ct, Johnson Creek, WI 53038-9567 | 2006-08-23 |
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| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CREEK |
| Zip Code | 53038 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.