WATERTOWN PHYSICIAN PRACTICES LLC (NPI# 1528558749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528558749 |
| Entity Type | Organization |
| Organization Name | WATERTOWN PHYSICIAN PRACTICES LLC |
| Other Organization Name | WRMC CENTER FOR EYE WEAR |
| Practice Address |
123 Hospital Dr Ste 2005 Watertown WI 53098 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 9202063155 |
| Practice Fax Number | 9202063158 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| WRMC Center for Eye Wear | 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 |
| 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 |
| 1407230238 | Watertown Physician Practices LLC | Nurse Anesthetist, Certified Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2015-07-10 |
| 1770964363 | Watertown Physician Practices LLC | Internal Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2015-06-09 |
| Street Address |
123 HOSPITAL DR STE 2005 |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| 1942699632 | Morgan Lange Hennes | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098 | 2015-01-18 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1740649029 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 655 Mount Auburn St, Watertown, MA 02472-2017 | 2016-02-16 |
| 1841340163 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 21800 Towne Center Dr, Watertown, NY 13601-5898 | 2007-01-11 |
| 1871642579 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1655 State St, Watertown, NY 13601-3555 | 2007-01-10 |
| 1952465387 | Associated Healthcare Systems, Inc | Durable Medical Equipment & Medical Supplies | 22566 Fisher Rd, Watertown, NY 13601-1050 | 2006-12-20 |
| 1144396102 | Avera Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1508 4th St Ne, Watertown, SD 57201-6824 | 2006-11-28 |
| 1609941483 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 19472 Nys Route 11, Watertown, NY 13601 | 2006-11-21 |
| 1831298181 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1222 Arsenal Street, Watertown, NY 13601-2230 | 2006-09-22 |
| 1922117308 | Rite Aid of Connecticut Inc | Durable Medical Equipment & Medical Supplies | 1271 Main Street, Watertown, CT 06795-3107 | 2006-08-30 |
| 1083723472 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 842 State Street, Watertown, NY 13601-2843 | 2006-08-30 |
| Find all providers in WATERTOWN | ||||
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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.