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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WRMC Jefferson PT Clinic | Doing Business As Name - Organization |
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 |
Street Address |
621 W RACINE ST |
City | JEFFERSON |
State | WI |
Zip Code | 53549-1048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053508978 | Xcel Physical Therapy, Inc. | Clinic/Center | 621 W Racine St, Jefferson, WI 53549-1048 | 2007-09-25 |
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 | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
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] |
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 |
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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.