SSM HEALTHCARE OF WI INC (NPI# 1558324038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558324038 |
| Entity Type | Organization |
| Organization Name | SSM HEALTHCARE OF WI INC |
| Practice Address |
707 14th St Baraboo WI 53913-1539 |
| Practice Telephone | 6083561400 |
| Mailing Telephone | 6083561400 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | SANDRA L ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 6083561400 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST CLARE HOSPITAL AND HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PHARMACY LICENSE # | 7924-042 | 01 |
| WI | DEA # | BS6630099 | 01 |
| WI | NABP # | 5112660 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316909781 | Ssm Healthcare of Wi Inc | Audiologist | 707 14th St, Baraboo, WI 53913-1539 | 2006-04-03 |
| 1346229697 | Ssm Healthcare of Wi Inc | Clinical Medical Laboratory | 707 14th St, Baraboo, WI 53913-1539 | 2006-01-14 |
| Street Address |
707 14TH ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1539 |
| 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 |
| 1265051205 | Deanna May Nault | Nurse Practitioner | 707 14th St, Baraboo, WI 53913-1597 | 2020-04-09 |
| 1588227367 | Karlie Wipperfurth | Occupational Therapist | 707 14th St, Baraboo, WI 53913-1539 | 2019-04-17 |
| 1164998225 | Cheyenne Pooler | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1597 | 2018-10-16 |
| 1548754526 | Paul Jest | Pharmacist | 707 14th St, Baraboo, WI 53913-1539 | 2018-06-21 |
| 1871978510 | Alison Allstadt | Audiologist | 707 14th St, Baraboo, WI 53913-1539 | 2015-07-23 |
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1760880322 | Kaylee Frazier | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2014-12-15 |
| 1477973873 | Elizabeth Kerrigan | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1539 | 2014-04-24 |
| 1356789077 | Mary Firari | Physician Assistant | 707 14th St, Baraboo, WI 53913-1539 | 2013-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689605727 | K Mart Corp | Pharmacy | 625 Hwy 136, Baraboo, WI 53913-1061 | 2006-07-06 |
| 1821346669 | Fritsch's Corner Drug Store, Inc. | Pharmacy | 1700 Tuttle St, Ste 300, Baraboo, WI 53913-3319 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
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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.