WATERTOWN PHYSICIAN PRACTICES LLC (NPI# 1407230238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407230238 |
| Entity Type | Organization |
| Organization Name | WATERTOWN PHYSICIAN PRACTICES LLC |
| Other Organization Name | WRMC ANESTHESIOLOGY SERVICES |
| Practice Address |
125 Hospital Dr Watertown WI 53098-3303 |
| Practice Telephone | 9202614210 |
| Mailing Telephone | 9202614210 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | SARA L MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WRMC Anesthesiology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1699315366 | Watertown Physician Practices LLC | General Practice | 111 Dodge St, Watertown, WI 53094-4434 | 2020-01-10 |
| 1003383027 | Watertown Physician Practices LLC | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098-3304 | 2018-10-29 |
| 1225412265 | Watertown Physician Practices LLC | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2015-07-18 |
| 1760866891 | Watertown Physician Practices LLC | Counselor | 129 Hospital Dr, Watertown, WI 53098-3334 | 2015-07-18 |
| 1770964363 | Watertown Physician Practices LLC | Internal Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2015-06-09 |
| Street Address |
125 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1669940664 | Ashleigh Douglas | Nurse Anesthetist, Certified Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-11-07 |
| 1336633080 | Sarah Sawall | Physical Therapist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-06-17 |
| 1720592454 | Kristine Elizabeth Bennett | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-11-16 |
| 1033620810 | Sheridan Healthcare Services of Wisconsin, S.c. | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-10-19 |
| 1285173666 | Kynsea S Zylka | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-02-17 |
| 1952844599 | Melissa Monroe | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-11-30 |
| 1902355373 | Asta Gurklys | Physician Assistant | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-27 |
| 1619425741 | Teresa Price | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-19 |
| 1558818492 | Wisconsin Physician Services Sc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1093997355 | Kristin Elizabeth Hanington Erickson | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098 | 2007-11-28 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316220734 | Mohammed Talal Almalki | Anesthesiology | 20 Watertown St Unit 348, Watertown, MA 02472-2585 | 2011-09-21 |
| 1174785000 | Irvin Rafael Sanchez | Anesthesiology | 826 Washington St Fl 3, Watertown, NY 13601-4063 | 2008-07-01 |
| 1740280346 | Vivian Toney | Anesthesiology | 29 Pine Street, Watertown, MA 02472-2163 | 2005-07-26 |
| 1033620810 | Sheridan Healthcare Services of Wisconsin, S.c. | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-10-19 |
| 1053605451 | Diemthuy Nancy Nguyen | Anesthesiology | 830 Washington St, Watertown, NY 13601-4034 | 2011-06-02 |
| 1023288800 | Metropolitan Watertown LLC | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2008-03-07 |
| 1275702227 | Watertown Regional Medical Center, Inc | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2008-02-25 |
| 1790984979 | Edwin N Urf | Anesthesiology | 830 Washington St, Watertown, NY 13601-4034 | 2007-07-17 |
| 1942397096 | David G Parkins | Anesthesiology | 125 Hospital Drive, Watertown, WI 53098-3303 | 2006-10-09 |
| 1861406449 | Jeffrey W Hanson | Anesthesiology | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-07-28 |
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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.