PLANNED PARENTHOOD OF WISCONSIN (NPI# 1104090778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104090778 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD OF WISCONSIN |
| Other Organization Name | WEST BEND |
| Practice Address |
532 Shepherds Dr West Bend WI 53090-8488 |
| Mailing Address |
302 N Jackson St Milwaukee WI 53202-5904 |
| Practice Telephone | 2623381303 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | SUSAN MARIE ODEGAARD (DIRECTOR, BUS OPERS.) |
| Authorized Official Telephone | 4142893796 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLANNED PARENTHOOD OF WI, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Bend | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845385 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 223 South Main St., Blair, WI 54616 | 2019-08-01 |
| 1982258737 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 919 Hoeschler Dr Ste 100, Sparta, WI 54656-2202 | 2019-07-30 |
| 1639344138 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 1221 13th Ave, Monroe, WI 53566-2035 | 2008-04-25 |
| 1881869386 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 1748 N Mlk Dr, Milwaukee, WI 53212-3602 | 2008-04-25 |
| 1184899684 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 24 Sunshine Cir, Chippewa Falls, WI 54729-2177 | 2008-04-25 |
| 1598930091 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 480 Village Walk Ln Ste C, Johnson Creek, WI 53038-9540 | 2008-04-25 |
| 1710151337 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 2222 S Park St, Suite 400, Madison, WI 53713-1916 | 2008-04-15 |
| 1942474572 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 7630 W Mill Rd, Milwaukee, WI 53218-1142 | 2008-04-15 |
| 1982878518 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 378 S Koeller St, Oshkosh, WI 54902-5546 | 2008-04-15 |
| 1184897027 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 508 W Wisconsin Ave, Appleton, WI 54911-4363 | 2008-04-11 |
| Street Address |
532 SHEPHERDS DR |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090-8488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639425499 | Megan Sloan | Nurse Practitioner | 532 Shepherds Dr, West Bend, WI 53090-8488 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| Find all providers in zip 53090 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477862894 | Gentle Hands Home Care LLC | Clinic/Center | 5924 N 61th Street, Milwaukee, WI 53218 | 2010-10-04 |
| 1124157227 | Wellness Center of Door County Inc | Clinic/Center | 312 N 5th Ave, Sturgeon Bay, WI 54235-2102 | 2007-03-05 |
| 1679572788 | Southwestern Wi Community Action Program, Inc | Clinic/Center | 275 W Main St, Platteville, WI 53818-3110 | 2005-07-20 |
| 1023162997 | Karen S. Watson Md Sc | Clinic/Center | 201 N Mayfair Rd, Suite 515, Wauwatosa, WI 53226-4216 | 2007-01-22 |
| 1720131097 | Bernard Smith | Clinic/Center | 1428 N Farwell Ave, Milwaukee, WI 53202-2904 | 2007-01-19 |
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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.