FORT HEALTHCARE, INC. (NPI# 1336158625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336158625 |
| Entity Type | Organization |
| Organization Name | FORT HEALTHCARE, INC. |
| Other Organization Name | FORT MEDICAL GROUP EDGERTON |
| Practice Address |
528 Stoughton Rd Edgerton WI 53534-1137 |
| Practice Telephone | 6088843481 |
| Practice Fax Number | 6088844950 |
| Mailing Telephone | 6088843481 |
| Mailing Fax Number | 6088844950 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | JAMES J NELSON (VP FINANCE, CFO) |
| Authorized Official Telephone | 9205685490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32671300 | 05 |
| Other Name | Type Code |
|---|---|
| FORT MEDICAL GROUP EDGERTON | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669481966 | Fort Healthcare, Inc. | Orthopaedic Surgery | 1520 Vernon St, Stoughton, WI 53589-2260 | 2006-08-05 |
| 1710283775 | Fort Healthcare, Inc. | Surgery | 212 Milwaukee Ave W, Fort Atkinson, WI 53538-2022 | 2011-02-08 |
| 1942437330 | Fort Healthcare, Inc. | Surgery | 426 Mcmillen St, Ste G, Fort Atkinson, WI 53538-1996 | 2009-06-12 |
| 1013161249 | Fort Healthcare, Inc. | Family Medicine | 152 W Garland St, Jefferson, WI 53549-2029 | 2008-11-14 |
| 1447304340 | Fort Healthcare, Inc. | Skilled Nursing Facility | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-22 |
| 1255405718 | Fort Healthcare, Inc. | Orthopaedic Surgery | 704 Katie Ct, Cambridge, WI 53523-9308 | 2006-11-17 |
| 1669583753 | Fort Healthcare, Inc. | Emergency Medicine | 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 | 2006-08-31 |
| 1932119591 | Fort Healthcare, Inc. | Surgery | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-08-08 |
| 1811916281 | Fort Healthcare, Inc. | General Acute Care Hospital | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-07-18 |
| Street Address |
528 STOUGHTON RD |
| City | EDGERTON |
| State | WI |
| Zip Code | 53534-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679700066 | Fort Healthcare, Inc | Otolaryngology | 528 Stoughton Rd, Ste 2, Edgerton, WI 53534-1137 | 2009-06-12 |
| 1487824983 | Betts Family Medical Clinic, Ltd | Family Medicine | 528 Stoughton Rd, Edgerton, WI 53534-1137 | 2008-03-11 |
| 1700977956 | Julie Louise Lyerla | Physician Assistant | 528 Stoughton Rd, Suite 2, Edgerton, WI 53534-1137 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
| 1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| 1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
| 1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
| 1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
| 1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
| 1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
| 1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
| 1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
| Find all providers in zip 53534 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1831729276 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 8907 S Howell Ave Ste 800, Oak Creek, WI 53154-4461 | 2020-01-24 |
| 1710520200 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 12555 W National Ave Ste 100, New Berlin, WI 53151-4061 | 2019-10-28 |
| 1477015931 | Multiple Care of Wi II, LLC | Orthopaedic Surgery | 8040 Excelsior Dr Ste 400, Madison, WI 53717-2915 | 2019-04-03 |
| 1508321209 | Ellen M Obrien | Orthopaedic Surgery | 5026 N Northwood Trce, Janesville, WI 53545-8990 | 2019-02-06 |
| 1487180238 | Ryan Scott Bailey | Orthopaedic Surgery | 7708 Milwaukee Ave, Wauwatosa, WI 53213-2209 | 2017-05-11 |
| 1932584927 | Anne Margarethe Ryan | Orthopaedic Surgery | 5940 Wild Rose Ln, Eau Claire, WI 54701-8783 | 2015-07-20 |
| 1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
| 1952728206 | Jacob R Seiler | Orthopaedic Surgery | 1205 West American Drive, Neenah, WI 54956-1405 | 2014-03-25 |
| 1770920472 | Jonathan Stone | Orthopaedic Surgery | 3111 W Rawson Ave Ste 200205, Franklin, WI 53132-9417 | 2013-06-04 |
| 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.