SAUK PRAIRIE HEALTHCARE INC (NPI# 1073588299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073588299 |
| Entity Type | Organization |
| Organization Name | SAUK PRAIRIE HEALTHCARE INC |
| Other Organization Name | WISCONSIN HEIGHTS CLINIC |
| Practice Address |
506 Crocker St Ste 3 Mazomanie WI 53560-9426 |
| Practice Telephone | 6087954110 |
| Mailing Telephone | 6087954110 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | JAMES DREGNEY (CFO) |
| Authorized Official Telephone | 6086437212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32764200 | 05 | |
| RAILROAD MEDICARE | CD3549 | 01 |
| Other Name | Type Code |
|---|---|
| WISCONSIN HEIGHTS CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609841568 | Sauk Prairie Healthcare Inc | Clinic/Center | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-02-22 |
| 1225003445 | Sauk Prairie Healthcare Inc | Clinic/Center | 160 Valley Dr, Lodi, WI 53555-1464 | 2006-02-21 |
| 1093220246 | Sauk Prairie Healthcare Inc | Clinic/Center | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-12-11 |
| 1336488741 | Sauk Prairie Healthcare Inc | Orthopaedic Surgery | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2013-02-05 |
| 1740425057 | Sauk Prairie Healthcare Inc | Internal Medicine | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2008-12-16 |
| 1396884474 | Sauk Prairie Healthcare Inc | Nurse Anesthetist, Certified Registered | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1205975380 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1437298684 | Sauk Prairie Healthcare Inc | Medicare Defined Swing Bed Unit | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-05 |
| 1134194004 | Sauk Prairie Healthcare Inc | Clinic/Center | 825 Main St, Plain, WI 53577-9668 | 2006-02-22 |
| 1861466153 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2006-02-14 |
| Street Address |
506 CROCKER ST STE 3 |
| City | MAZOMANIE |
| State | WI |
| Zip Code | 53560-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336428200 | Emily Marie Weiss | Nurse Practitioner | 506 Crocker St Ste 3, Mazomanie, WI 53560-9426 | 2011-08-10 |
| 1356316277 | Janelle K Hupp | Family Medicine | 506 Crocker St Ste 3, Mazomanie, WI 53560-9426 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336314822 | Wisconsin Heights School District | Local Education Agency (LEA) | 10173 Hwy 14, Mazomanie, WI 53560 | 2008-04-25 |
| 1760585095 | Dane County District One Ems | Ambulance | 133 Crescent Ave, Mazomanie, WI 53560-0505 | 2006-09-05 |
| 1831407246 | Jennifer N Self | Registered Nurse | 608 Westwynd Ct, Mazomanie, WI 53560-9352 | 2010-09-20 |
| 1194863647 | Karina Anne Back | Occupational Therapist | 710 Lichte Dr, Mazomanie, WI 53560-9356 | 2007-02-04 |
| 1841346160 | Linda Jean Turner | Registered Nurse | 35 Brodhead St # 4, Mazomanie, WI 53560-9385 | 2007-01-27 |
| 1700199858 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 121 W Commercial Street, Mazomanie, WI 53560-9391 | 2010-07-19 |
| 1083989552 | Denise Cole | Marriage & Family Therapist | 506 Crocker St, Suite 5, Mazomanie, WI 53560-9425 | 2012-03-17 |
| 1871877670 | Gallagher Chiropractic | Clinic/Center | 506 Crocker St, Suite #1, Mazomanie, WI 53560-9425 | 2011-09-28 |
| 1316944036 | Michael David Gallagher | Chiropractor | 506 Crocker St, Mazomanie, WI 53560-9554 | 2005-07-07 |
| 1598087058 | Lisa Kjos | Psychologist | 506 Crocker St, Suite 5, Mazomanie, WI 53560-9554 | 2010-02-24 |
| Find all providers in zip 53560 | ||||
| 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 |
|---|---|---|---|---|
| 1356316277 | Janelle K Hupp | Family Medicine | 506 Crocker St Ste 3, Mazomanie, WI 53560-9426 | 2006-02-22 |
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| 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 |
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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.