SSM HEALTH CARE OF WISCONSIN INC (NPI# 1528516036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528516036 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN INC |
| Other Organization Name | SSM HEALTH SLEEP CENTER |
| Practice Address |
2844 Index Rd Fitchburg WI 53713-3117 |
| Practice Telephone | 6082585266 |
| Mailing Telephone | 6082585266 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | JOSEPH MINERATH (REG DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 6082586891 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH ST MARY'S HOSPITAL-MADISON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SSM HEALTH SLEEP CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641207 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2005-07-07 |
| 1457802316 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 530 Wi Dells Pkwy S, Wisconsin Dells, WI 53965-9732 | 2016-10-17 |
| 1730637240 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 1310 Broadway, Wisconsin Dells, WI 53965-1358 | 2016-09-13 |
| 1285020552 | Ssm Health Care of Wisconsin Inc | Clinical Medical Laboratory | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-04-13 |
| 1902290034 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 700 S Park St, Madison, WI 53715-1830 | 2015-03-26 |
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1548654676 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-03-26 |
| 1275947137 | Ssm Health Care of Wisconsin Inc | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-06-18 |
| 1710391776 | Ssm Health Care of Wisconsin Inc | Family Medicine | 700 S Park St, Madison, WI 53715-1830 | 2014-06-18 |
| 1467435214 | Ssm Health Care of Wisconsin Inc | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2005-11-25 |
| Street Address |
2844 INDEX RD |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53713-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577607 | Leann M Derungs | Nurse Practitioner | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2006-04-12 |
| 1972052371 | Michelle Mortensen | Physician Assistant | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2016-09-26 |
| 1851648042 | Elizabeth A Saar | Physician Assistant | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2012-08-07 |
| 1295044527 | Megan A Rocke | Physician Assistant | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2010-10-05 |
| 1790957371 | Scott E. Johnson | Internal Medicine | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2008-03-24 |
| 1609092584 | Ewa I Alexander | Internal Medicine | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2007-04-18 |
| 1144380577 | Don A Harden | Internal Medicine | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2006-12-08 |
| 1063430833 | Jacalyn A Nelson | Internal Medicine | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2006-07-18 |
| 1417987736 | Joseph A Crisalli | Pediatrics | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2006-07-03 |
| 1629024047 | Kathryn L Middleton | Internal Medicine | 2844 Index Rd, St. Mary's Sllep Center, Fitchburg, WI 53713-3117 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705506 | Lakeland Health Services, Inc. | Clinic/Center | 403 Stageline Rd Ste 333, Hudson, WI 54016-7848 | 2019-08-14 |
| 1093134470 | Sleep Well Home Sleep Daignostics | Clinic/Center | 130 N Wacouta Ave, Prairie Du Chien, WI 53821-1523 | 2014-04-14 |
| 1750622494 | Sleep Management Associates | Clinic/Center | 5352 N Hollywood Ave, Whitefish Bay, WI 53217-5323 | 2013-03-05 |
| 1114258704 | Sleep Resources, Inc | Clinic/Center | 1139 N 26th St, Sheboygan, WI 53081-3109 | 2010-01-20 |
| 1629288055 | Sleep Diagnostice Center LLC | Clinic/Center | 5310 W Capitol Dr Ste 215, Milwaukee, WI 53216-2263 | 2007-05-23 |
| 1629137039 | Sleep Wellness Southshore, LLC | Clinic/Center | 100 15th Ave, Suite 220, South Milwaukee, WI 53172-1160 | 2006-12-08 |
| 1225056252 | Neurotech, LLC | Clinic/Center | 626 W Moreland Blvd, Waukesha, WI 53188-2433 | 2006-07-17 |
| 1457356172 | Oxygen One, Inc. | Clinic/Center | 1900 Pewaukee Rd, Ste F, Waukesha, WI 53188-2447 | 2005-06-17 |
| 1093220246 | Sauk Prairie Healthcare Inc | Clinic/Center | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-12-11 |
| 1578009692 | Sacred Heart Hospital of The Hospital Sisters of The 3rd Order of St F | Clinic/Center | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-01-12 |
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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.