EDGERTON HOSPITAL & HEALTH SERVICES (NPI# 1619345998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619345998 |
| Entity Type | Organization |
| Organization Name | EDGERTON HOSPITAL & HEALTH SERVICES |
| Practice Address |
11101 N Sherman Rd Edgerton WI 53534-9002 |
| Practice Telephone | 6088843441 |
| Mailing Telephone | 6088843441 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | JAMES SCHULTZ (CEO) |
| Authorized Official Telephone | 6088843441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
11101 N SHERMAN RD |
| City | EDGERTON |
| State | WI |
| Zip Code | 53534-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1073143194 | Jenna Morse | Occupational Therapist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2020-01-16 |
| 1245776384 | Wil Hospitalists LLC | Internal Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2017-01-12 |
| 1972048429 | Bhanu P Sankineni LLC | Internal Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2016-12-19 |
| 1891098976 | Edgerton Hospital and Health Services | Non-Pharmacy Dispensing Site | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2010-12-13 |
| 1821264003 | Roger William Schmitz | Speech-Language Pathologist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2008-05-07 |
| 1871796946 | Ann Terese Rudel | Occupational Therapy Assistant | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-06-07 |
| 1649473802 | Tanya R Getchell | Emergency Medical Technician, Intermediate | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-06-06 |
| 1487868964 | Joshua A Mou | Emergency Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-05-10 |
| 1588782403 | Angela M Moll | Occupational Therapist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
| 1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| 1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
| 1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
| 1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
| 1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
| 1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
| 1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
| 1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
| Find all providers in zip 53534 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458025 | Lisa M Bender | General Practice | 213 Bergamont Blvd Apt 101, Oregon, WI 53575-3722 | 2020-02-08 |
| 1093368607 | New Medical Center, S.c. | General Practice | 160 Gateway Dr, Ste A, Waupun, WI 53963-2276 | 2019-07-23 |
| 1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
| 1750866828 | Fi-med Management Inc | General Practice | 333 Bishops Way Ste 122, Brookfield, WI 53005-6209 | 2018-09-25 |
| 1073017265 | Vincent Lucas David Fryer | General Practice | 2329 Sunny Ln Apt C, Suamico, WI 54313-7821 | 2018-03-21 |
| 1952846982 | Practice Partners Healthcare Group, S.c. | General Practice | 1434 Thelen Farm Trl, Houlton, WI 54082-2062 | 2016-12-29 |
| 1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
| 1306237417 | Aaron Rosenberg | General Practice | 1516 W Mequon Rd Ste 103, Mequon, WI 53092-3264 | 2015-02-10 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
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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.