EDGEWOOD COLLEGE HEALTH SERVICES (NPI# 1437604691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437604691 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD COLLEGE HEALTH SERVICES |
| Practice Address |
1000 Edgewood College Dr Predolin 208 Madison WI 53711-1997 |
| Mailing Address |
1000 Edgewood College Dr Madison WI 53711-1997 |
| Practice Telephone | 6087723004 |
| Mailing Telephone | 6086638334 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Authorized Official Name | KIMBERLY A MORELAND (DIRECTOR, HEALTH SERVICES) |
| Authorized Official Telephone | 6086638334 |
| Authorized Official Credential | RN, APNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
1000 EDGEWOOD COLLEGE DR PREDOLIN 208 |
| City | MADISON |
| State | WI |
| Zip Code | 53711-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508907494 | Amy Morgan Dunlop | Nurse Practitioner | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-02-12 |
| 1336680750 | Taylor Somerville | Specialist/Technologist | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2017-03-17 |
| 1427598648 | Adam Krueger | Specialist/Technologist | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2017-03-07 |
| 1780124198 | Michelle Buechner | Specialist/Technologist | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2017-03-03 |
| 1740739622 | Edgewood College, Inc | Family Medicine | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2016-10-03 |
| 1992198519 | Laura Koga | Nurse Practitioner | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2015-03-05 |
| 1043524937 | Kirsten Suzanne Koffarnus | Nurse Practitioner | 1000 Edgewood College Dr, Edgewood College Health Center, Madison, WI 53711-1997 | 2010-08-03 |
| 1548480460 | Janet Marie Zimmerman | Clinic/Center | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-04-26 |
| 1023235462 | Meera Rastogi | Psychologist | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-04-19 |
| 1497898571 | Brian David Hoefer | Specialist/Technologist | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366836462 | Drew University Health Service | Clinic/Center | 36 Madison Ave, Drew University Health Service, Madison, NJ 07940 | 2015-03-26 |
| 1760705578 | University of Wisconsin Student Health Services | Clinic/Center | 600 Highland Ave, Madison, WI 53792-0001 | 2010-03-08 |
| 1548480460 | Janet Marie Zimmerman | Clinic/Center | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-04-26 |
| 1669599361 | University Health Services | Clinic/Center | 333 E Campus Mall, #8104, Madison, WI 53715-1365 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962823641 | Queen Esther Inc | Clinic/Center | 4883 N Anita Ave, Milwaukee, WI 53217-5814 | 2013-12-23 |
| 1609040351 | Academy of Learning and Leadership | Clinic/Center | 1530 W Center St, Milwaukee, WI 53206-2101 | 2008-04-14 |
| 1144494923 | Prairie Du Chien Area School | Clinic/Center | 420 S Wacouta Ave, Prairie Du Chien, WI 53821-1924 | 2008-04-14 |
| 1225287691 | St Norbert College | Clinic/Center | 100 Grant St, De Pere, WI 54115-2002 | 2008-09-10 |
| 1164680542 | Uwsp Student Health Service | Clinic/Center | 910 Fremont St, Stevens Point, WI 54481-3105 | 2008-06-02 |
| 1558531251 | University of Wisconsin System Non Payroll | Clinic/Center | 103 1st Ave W, Menomonie, WI 54751-1876 | 2008-03-10 |
| 1487849055 | University Hlth Serv Pharmacy | Clinic/Center | 910 Fremont St, Stevens Point, WI 54481-3105 | 2007-09-07 |
| 1790808269 | University Health and Counseling Services | Clinic/Center | 800 W Main St, Uw-whitewater, Whitewater, WI 53190-1705 | 2007-04-09 |
| 1932236726 | Student Health Service | Clinic/Center | 545 N 15th St, Marquette University, Milwaukee, WI 53201-1881 | 2007-02-27 |
Please comment or provide details below to improve the information on EDGEWOOD COLLEGE HEALTH SERVICES.
| 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.