MADISON VAMC (NPI# 1558721860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558721860 |
| Entity Type | Organization |
| Organization Name | MADISON VAMC |
| Other Organization Name | MADISON VA CLC |
| Practice Address |
2500 Overlook Terrace Madison WI 53705-2254 |
| Mailing Address |
Po Box 5117 Madison WI 53705-0117 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| MADISON VA CLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124074810 | Madison Vamc | Clinic/Center | 1141 Black Bridge Rd, Janesville, WI 53545-1092 | 2006-05-25 |
| 1972554913 | Madison Vamc | Clinic/Center | 1670 South Blvd., Baraboo, WI 53913-2991 | 2006-05-15 |
| 1033177589 | Madison Vamc | Department of Veterans Affairs (VA) Pharmacy | 816 Featherstone Rd, Rockford, IL 61107-6300 | 2006-05-03 |
| 1023425089 | Madison Vamc | Clinic/Center | 1 Science Court, Madison, WI 53711-1055 | 2014-07-22 |
| 1558414987 | Madison Vamc | Clinic/Center | 750 Kiwanis Dr, Suite 250, Freeport, IL 61032-7119 | 2007-01-19 |
| 1174567770 | Madison Vamc | Clinic/Center | 816 Featherstone Rd, Rockford, IL 61107-6300 | 2006-06-15 |
| 1992758254 | Madison Vamc | Clinic/Center | 215 Corporate Dr, Suite B, Beaver Dam, WI 53916-3123 | 2006-05-18 |
| 1275583619 | Madison Vamc | General Acute Care Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-05-10 |
| 1033177787 | Madison Vamc | Department of Veterans Affairs (VA) Pharmacy | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-05-03 |
| Street Address |
2500 OVERLOOK TERRACE |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788392 | Robert William Waterman Jr. | Psychiatry & Neurology | 2500 Overlook Terrace, Madison, WI 53705-2286 | 2006-07-07 |
| 1811515638 | Hannah Hecht | Pharmacist | 2500 Overlook Terrace, Pharmacy Department, Madison, WI 53705 | 2020-07-08 |
| 1932724846 | Stephanie D Eickman | Pharmacist | 2500 Overlook Terrace, Pharmacy Service (119), Madison, WI 53705 | 2020-06-16 |
| 1740834290 | Emily Downey | Nurse Practitioner | 2500 Overlook Terrace, Madison, WI 53705 | 2019-08-01 |
| 1093367211 | Emily Mary Fong | Pharmacist | 2500 Overlook Terrace, Pharmacy Dept, Madison, WI 53705 | 2019-07-09 |
| 1780241646 | Kate Angela Borromeo | Student in an Organized Health Care Education/Training Program | 2500 Overlook Terrace, Madison, WI 53705-5370 | 2019-05-24 |
| 1356869986 | Chad Glenn Colwell | Pharmacist | 2500 Overlook Terrace, Madison, WI 53705 | 2017-09-04 |
| 1881097871 | Carmen Rae Jahn | Registered Nurse | 2500 Overlook Terrace, Madison, WI 53703 | 2014-10-03 |
| 1720494719 | Kimberly Wurtz | Pharmacist | 2500 Overlook Terrace, William S. Middleton Memorial Va Hospital, Madison, WI 53705-2286 | 2014-07-10 |
| 1760721856 | Mwende Mualuko | Psychologist | 2500 Overlook Terrace, Madison, WI 53705 | 2013-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| 1356629968 | Melanie Jeannine Johnston | Skilled Nursing Facility | 248 Geneva Blvd, Madison, MS 39110-7739 | 2011-07-31 |
| 1649425034 | Krizia Villanueva | Skilled Nursing Facility | 316 S Broom St, Madison, WI 53703-4076 | 2008-11-26 |
| 1326214578 | Dylan Ponchaud | Skilled Nursing Facility | 947 E Johnson St Apt 1, Madison, WI 53703-1672 | 2008-05-07 |
| 1144493404 | Sara M Bakken | Skilled Nursing Facility | 718 Jupiter Dr, Madison, WI 53718-2950 | 2008-04-08 |
| 1982888277 | Oakwood Village East Lutheran Homes, Inc | Skilled Nursing Facility | 5833 American Pkwy, Madison, WI 53718 | 2007-12-21 |
| 1316011513 | Nc Leasing, LLC | Skilled Nursing Facility | 1308 Highway 51, Madison, MS 39110-7205 | 2006-11-20 |
| 1710056940 | Watrous Nursing Center Inc. | Skilled Nursing Facility | 9 Neck Rd, Madison, CT 06443-2819 | 2006-11-06 |
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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.