SSM HEALTH CARE OF WISCONSIN, INC. (NPI# 1407932536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407932536 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN, INC. |
| Other Organization Name | ST MARYS CARE CENTER PHARMACY |
| Practice Address |
3401 Maple Grove Dr Madison WI 53719-5013 |
| Practice Telephone | 6088450447 |
| Practice Fax Number | 6088450449 |
| Mailing Telephone | 6088450447 |
| Mailing Fax Number | 6088450449 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | MICHAEL RAMEKER (PHCST) |
| Authorized Official Telephone | 6088450447 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
8247-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33241000 | 05 | |
| PK | 2115167 | 01 |
| Other Name | Type Code |
|---|---|
| ST MARYS CARE CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067636 | Ssm Health Care of Wisconsin, Inc. | Skilled Nursing Facility | 1414 Jefferson St, Baraboo, WI 53913-1503 | 2006-03-21 |
| 1053392845 | Ssm Health Care of Wisconsin, Inc. | Clinic/Center | 1600 Jefferson St, Baraboo, WI 53913-1542 | 2005-11-08 |
| 1184621211 | Ssm Health Care of Wisconsin, Inc. | General Acute Care Hospital | 700 S. Park St., Madison, WI 53715-1830 | 2005-07-05 |
| 1003258435 | Ssm Health Care of Wisconsin, Inc. | Durable Medical Equipment & Medical Supplies | 3400 E Racine St, Janesville, WI 53546-2344 | 2013-07-26 |
| 1194004408 | Ssm Health Care of Wisconsin, Inc. | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2011-08-04 |
| Street Address |
3401 MAPLE GROVE DR |
| City | MADISON |
| State | WI |
| Zip Code | 53719-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649210030 | Ssm Health Care of Wisconsin, Inc | Skilled Nursing Facility | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2006-06-07 |
| 1023538543 | Megan Leigh Donohue | Physical Therapist | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2017-06-26 |
| 1912310558 | Heather Warner | Occupational Therapy Assistant | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2014-06-10 |
| 1194135061 | Heather Miles-dunphy | Physical Therapy Assistant | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2014-05-01 |
| 1518283563 | Michael S Rameker | Pharmacist | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2010-04-15 |
| 1477700326 | Teresa Ann Wigington | Occupational Therapist | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2008-08-22 |
| 1639337561 | Susan A Hamre Veling | Physical Therapy Assistant | 3401 Maple Grove Dr, St Marys Care Center, Madison, WI 53719-5013 | 2008-05-28 |
| 1861669426 | Mary B Sweeney | Physical Therapist | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2008-05-13 |
| 1497922058 | Becky M Whiting | Occupational Therapist | 3401 Maple Grove Dr, St Marys Care Center, Madison, WI 53719-5013 | 2008-05-13 |
| 1306013966 | Stefanie Jo Vonelbe | Physical Therapist | 3401 Maple Grove Dr, Madison, WI 53719-5013 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1447458278 | Direct Pharmaceutical Inc. Pharmacy | Pharmacy | 7293 Wall Triana Hwy, Suite C, Madison, AL 35757-8036 | 2007-07-03 |
| 1972611812 | Pp Acquisition Company, LLC | Pharmacy | 2818 Progress Rd, Madison, WI 53716-3338 | 2006-08-29 |
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| 1043707987 | Guardian Pharmacy of Madison, LLC | Pharmacy | 3250 Kingsley Way, Madison, WI 53713-1383 | 2018-04-17 |
| 1699182444 | Pharmacy Group of Mississippi, LLC | Pharmacy | 136 Enterprise Dr, Madison, MS 39110-8701 | 2014-07-14 |
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| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1568015022 | T A Solberg Co Inc | Pharmacy | 232 S Courtney St Stop 3, Rhinelander, WI 54501-3308 | 2019-07-23 |
| 1932679081 | Janesville Hometown Pharmacy LLC | Pharmacy | 21 S Jackson St Ste 100, Janesville, WI 53548-3859 | 2018-12-03 |
| 1902371107 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Rd, Green Bay, WI 54313-7124 | 2018-10-04 |
| 1962999805 | Guardian Pharmacy of Madison, LLC | Pharmacy | N85 W15882 Appleton Ave, Menomonee Falls, WI 53051-3082 | 2018-04-17 |
| 1164932091 | Mabie Pharmacy, LLC | Pharmacy | 10 Liberty St # 106, Deerfield, WI 53531-9458 | 2017-10-05 |
| 1487101754 | Evergreen Pharmacy LLC | Pharmacy | 10101 W Greenfield Ave, West Allis, WI 53214-3953 | 2016-09-05 |
| 1639548142 | Lynja Inc | Pharmacy | 3215 8th St S Ste 101, Wisconsin Rapids, WI 54494-6564 | 2015-09-15 |
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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.