FORT HEALTHCARE INC (NPI# 1598826489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598826489 |
| Entity Type | Organization |
| Organization Name | FORT HEALTHCARE INC |
| Other Organization Name | FORT MEDICAL GROUP HANDEYSIDE |
| Practice Address |
520 Handeyside Ln Ste 2 Fort Atkinson WI 53538-1277 |
| Practice Telephone | 9205689000 |
| Practice Fax Number | 9205689295 |
| Mailing Telephone | 9205689000 |
| Mailing Fax Number | 9205689295 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | JAMES NELSON (VP CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9205685000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1417993361 | 05 |
| Other Name | Type Code |
|---|---|
| FORT MEDICAL GROUP HANDEYSIDE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417450115 | Fort Healthcare Inc | Family Medicine | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2018-03-09 |
| 1215255435 | Fort Healthcare Inc | Orthopaedic Surgery | 1504 Madison Ave, Fort Atkinson, WI 53538-3100 | 2010-05-12 |
| 1629287180 | Fort Healthcare Inc | Pediatrics | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 | 2007-05-22 |
| 1831252196 | Fort Healthcare Inc | Social Worker | 509 Mcmillen St, Fort Atkinson, WI 53538-1263 | 2006-12-18 |
| 1669533840 | Fort Healthcare Inc | Otolaryngology | 512 Wilcox St, Fort Atkinson, WI 53538-1254 | 2006-12-12 |
| 1861552218 | Fort Healthcare Inc | Family Medicine | 840 W Racine St, Jefferson, WI 53549-1053 | 2006-12-08 |
| 1952461311 | Fort Healthcare Inc | Urology | 20 N Church St, Elkhorn, WI 53121-1770 | 2006-12-08 |
| 1720148182 | Fort Healthcare Inc | Psychologist | 402 Gammon Pl, Suite 380, Madison, WI 53719-1045 | 2006-12-08 |
| 1083623383 | Fort Healthcare Inc | Psychologist | 400 Doctors Ct, Johnson Creek, WI 53038-9567 | 2006-08-05 |
| 1417993361 | Fort Healthcare Inc | Psychologist | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2006-06-21 |
| Street Address |
520 HANDEYSIDE LN STE 2 |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447271572 | Edward S Kapustka | Urology | 426 Mcmillen St, Fort Atkinson, WI 53538-1996 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
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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.