WATERTOWN REGIONAL MEDICAL CENTER, INC


Address: 621 W Racine St, Jefferson, WI 53549-1048
Phone: 9205413513

WATERTOWN REGIONAL MEDICAL CENTER, INC (NPI# 1205223518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205223518
Entity Type Organization
Organization Name WATERTOWN REGIONAL MEDICAL CENTER, INC
Other Organization Name WRMC JEFFERSON PT CLINIC
Practice Address 621 W Racine St
Jefferson
WI 53549-1048
Mailing Address 125 Hospital Dr
Watertown
WI 53098-3303
Practice Telephone 9205413513
Mailing Telephone 9202624784
Mailing Fax Number 9202624640
Enumeration Date 2015-04-24
Last Update Date 2015-04-24
Authorized Official Name ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING)
Authorized Official Telephone 9202624784
Is Organization Subpart Y
Parent Organization Name WATERTOWN REGIONAL MEDICAL CENTER, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
WRMC Jefferson PT Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407035033 Watertown Regional Medical Center, Inc Clinic/Center 700 Hoffman Dr, Watertown, WI 53094-6204 2007-10-31
1972505154 Watertown Regional Medical Center, Inc Home Health 125 Hospital Dr, Watertown, WI 53098-3303 2005-06-01
1659796878 Watertown Regional Medical Center, Inc Family Medicine 125 Hospital Dr, Watertown, WI 53098-3303 2014-02-25
1770914384 Watertown Regional Medical Center, Inc Family Medicine W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366 2013-12-06
1750727723 Watertown Regional Medical Center, Inc Family Medicine W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366 2013-05-17
1194072660 Watertown Regional Medical Center, Inc Otolaryngology 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320 2012-08-14
1629346028 Watertown Regional Medical Center, Inc Plastic Surgery W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 2011-12-13
1356627699 Watertown Regional Medical Center, Inc Family Medicine 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3331 2011-11-01
1043593916 Watertown Regional Medical Center, Inc Plastic Surgery 123 Hospital Dr, Ste 2003, Watertown, WI 53098-3331 2011-09-27
1013296391 Watertown Regional Medical Center, Inc Physician Assistant 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3336 2011-08-04

Office Location

Street Address 621 W RACINE ST
City JEFFERSON
State WI
Zip Code 53549-1048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053508978 Xcel Physical Therapy, Inc. Clinic/Center 621 W Racine St, Jefferson, WI 53549-1048 2007-09-25

Providers in the same zip code

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 Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679112072 Bridget Grimes Physical Medicine & Rehabilitation 8560 26th Ave, Kenosha, WI 53143-6447 2020-01-02
1205442373 Kourtney Buelow Physical Medicine & Rehabilitation 1774 Riverside Dr, Suamico, WI 54173-8100 2020-09-23
1669094330 Jane Edna Smetana Physical Medicine & Rehabilitation 2999 N Mayfair Rd Ste 300, Wauwatosa, WI 53222-4306 2020-05-15
1619598786 Olivia Joi Carlton Physical Medicine & Rehabilitation 36500 Aurora Dr, Summit, WI 53066-4899 2020-04-30
1376170589 Carrie Dorothy Burg Physical Medicine & Rehabilitation 1550 Hobbs Dr, Delavan, WI 53115-2027 2020-03-26
1568933224 William Aristides George Iv Physical Medicine & Rehabilitation 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 2018-12-06
1477021640 Michael Houte Physical Medicine & Rehabilitation 1245 N Broadway, Milwaukee, WI 53202-2507 2018-11-06
1811487366 Devon Robert Heim Physical Medicine & Rehabilitation 2000 Observatory Dr, Madison, WI 53706-1121 2018-05-10
1083103857 Bianca Bockwinkel Physical Medicine & Rehabilitation 2000 Observatory Dr, Madison, WI 53706-1121 2018-05-07
1154810927 Carlee Steinhaus Physical Medicine & Rehabilitation 2000 Observatory Dr, Madison, WI 53706-1121 2018-05-07
Find all providers with the same taxonomy

Competitor

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City JEFFERSON
Zip Code 53549

Improve Information

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Dataset Information

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.

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