UROGYN SERVICES, LLC (NPI# 1073649877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073649877 |
| Entity Type | Organization |
| Organization Name | UROGYN SERVICES, LLC |
| Practice Address |
1130 Collins Rd Jefferson WI 53549-2939 |
| Mailing Address |
3401 Cosgrove Dr Madison WI 53719-4886 |
| Practice Telephone | 9206743170 |
| Mailing Telephone | 6085762224 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | MS. MEGAN PATRICIA FITZGERALD (NP) |
| Authorized Official Telephone | 6085762224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2490-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43961200 | 05 |
| Street Address |
1130 COLLINS RD |
| City | JEFFERSON |
| State | WI |
| Zip Code | 53549-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952314783 | Kelly Horton | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2006-08-14 |
| 1023677184 | Alden Estates of Countryside, Inc. | Clinic/Center | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2019-06-11 |
| 1114430725 | Jacqueline Nicholson | Physical Therapist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2017-11-06 |
| 1700259561 | Kari Thoma | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2015-11-02 |
| 1518395706 | Rachel Johnston Puda | Physical Therapist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2013-10-24 |
| 1871839209 | Kimberly Nicole Wittmann | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2012-12-12 |
| 1285958298 | Alden Estates of Countryside, Inc. | Skilled Nursing Facility | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2010-03-19 |
| 1346485646 | Gayle Renz | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2008-12-16 |
| 1033322847 | Jane Evenson | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-05-08 |
| 1295885945 | Hildegard Kopp | Speech-Language Pathologist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
| 1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
| 1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
| 1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| Find all providers in zip 53549 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902337363 | Mark Steven Selzer | Nurse Practitioner | 78 W Jefferson St, Jefferson, OH 44047-1028 | 2017-03-27 |
| 1013544352 | Breiyon Smith | Nurse Practitioner | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-03-26 |
| 1598984700 | Twilla L Haynes | Nurse Practitioner | 657 Athens St, Jefferson, GA 30549-1474 | 2007-04-25 |
| 1255355368 | Noreen E Lyons | Nurse Practitioner | 840 W Racine St, Jefferson, WI 53549-1053 | 2006-07-26 |
| 1902857709 | Mary K Beck Metzger | Nurse Practitioner | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
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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.