ST MARY'S DEAN VENTURES INC (NPI# 1144392275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144392275 |
| Entity Type | Organization |
| Organization Name | ST MARY'S DEAN VENTURES INC |
| Other Organization Name | BREAST CORE BIOPSY CENTER |
| Practice Address |
1313 Fish Hatchery Road Madison WI 53715 |
| Mailing Address |
Po Box 259317 1808 W Beltline Hwy Madison WI 53725-9317 |
| Practice Telephone | 6082527445 |
| Mailing Telephone | 6082501316 |
| Mailing Fax Number | 6082501034 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | WILLIAM G RALL (VICE PRESIDENT-FINANCE) |
| Authorized Official Telephone | 6082501194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32837200 | 05 | |
| WI | DEAN HEALTH PLAN | 543668 | 01 |
| Other Name | Type Code |
|---|---|
| Breast Core Biopsy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847715 | St Mary's Dean Ventures Inc | Clinic/Center | 616 N Washington St, Janesville, WI 53545 | 2006-11-14 |
| Street Address |
1313 FISH HATCHERY ROAD |
| City | MADISON |
| State | WI |
| Zip Code | 53715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1215112966 | Mh Imaging-kenosha LLC | Clinic/Center | 1020 35th Street, Suite 120, Kenosha, WI 53140-1932 | 2007-12-31 |
| 1033121629 | Pediatric Diagnostic Imaging, S.c. | Clinic/Center | 8522 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-08-12 |
| 1528013992 | Open Mri of Delafield, LLC | Clinic/Center | 3960 Hillside Dr, Suite 106, Delafield, WI 53018-2148 | 2006-05-24 |
| 1184675506 | Cardiac Evaluation Services Inc | Clinic/Center | 2063 South 116th Street, Milwaukee, WI 53227 | 2006-05-12 |
| 1295784726 | Mcmc Radiology Services, LLC | Clinic/Center | 5310 W Capitol Dr, Milwaukee, WI 53216-2239 | 2006-05-10 |
| 1770540130 | Kenosha Radiology Center LLC. | Clinic/Center | 10117 74th St, Suite 150, Kenosha, WI 53142-7533 | 2006-04-28 |
| 1073592473 | Advanced Imaging S.c. | Clinic/Center | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2006-01-13 |
| 1669865705 | Oakleaf Clinics Sc | Clinic/Center | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2015-03-13 |
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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.