GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (NPI# 1649689316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649689316 |
Entity Type | Organization |
Organization Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
Other Organization Name | GHC-SCW |
Practice Address |
1265 John Q Hammons Dr Madison WI 53717-1921 |
Practice Telephone | 6082514156 |
Mailing Telephone | 6082514156 |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-08-07 |
Authorized Official Name | MR. KEVN HAYDEN (CEO) |
Authorized Official Telephone | 6082514156 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
360-23 | WI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GHC-SCW | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245260165 | Group Health Cooperative of South Central Wisconsin | Health Maintenance Organization | 8202 Excelsior, Madison, WI 53717 | 2006-07-04 |
1427465830 | Group Health Cooperative of South Central Wisconsin | Dietitian, Registered | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-07-17 |
1346251840 | Group Health Cooperative of South Central Wisconsin | Pharmacy | 8202 Excelsior Dr, Madison, WI 53717-1906 | 2006-08-10 |
1790796290 | Group Health Cooperative of South Central Wisconsin | Pharmacy | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2006-08-10 |
1255342754 | Group Health Cooperative of South Central Wisconsin | Pharmacy | 675 W Washington Ave, Madison, WI 53703-2637 | 2006-08-10 |
Street Address |
1265 JOHN Q HAMMONS DR |
City | MADISON |
State | WI |
Zip Code | 53717-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437114774 | Allison A Philipps | Nurse Practitioner | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2006-04-19 |
1255814927 | Andrew Joseph Schuck | Pharmacist | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2018-09-10 |
1447751045 | Paul Douglas Hulseberg | Physician Assistant | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2018-02-28 |
1891192456 | Monika Zawadzka | Nurse Practitioner | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-11-25 |
1427465830 | Group Health Cooperative of South Central Wisconsin | Dietitian, Registered | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-07-17 |
1467724930 | Michael L Ochowski | Pharmacist | 1265 John Q Hammons Dr, Suite 200, Madison, WI 53717-1921 | 2012-01-31 |
1114214780 | Timothy K. Ruder | Optometrist | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2011-07-05 |
1649435421 | Afton M O'reilly | Physical Therapist | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2008-07-22 |
1528244738 | Diane Harlowe | Occupational Therapist | 1265 John Q Hammons Dr, Madison, WI 53717-1941 | 2008-01-17 |
1720171531 | Nancy Selfridge | Family Medicine | 1265 John Q Hammons Dr, Madison, WI 53717-1941 | 2006-10-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
Find all providers in zip 53717 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
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1154646230 | Saints Health Services for Business | Clinic/Center | 133 S 16th Pl, Sturgeon Bay, WI 54235-1454 | 2010-04-01 |
1366520504 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1147 Warwick Way, Racine, WI 53406-5661 | 2006-11-02 |
1255386454 | Vita Physical Therapy Sc | Clinic/Center | 451 E Erie St, Milwaukee, WI 53202-6159 | 2006-05-24 |
1710480363 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2018-03-09 |
1457694341 | Occupational Health Centers of The Southwest, Pa | Clinic/Center | 5500 West Brown Deer Road, Suite 400, Milwaukee, WI 53223-2265 | 2013-03-29 |
1548569692 | Stay Strong Therapies LLC | Clinic/Center | 21140 W Capitol Dr, Suite 4, Brookfield, WI 53072-2953 | 2011-03-15 |
1003069428 | Ministry Medical Group Occupational Medicine | Clinic/Center | 5412 Us Highway 10 E, Stevens Point, WI 54482-8559 | 2008-10-29 |
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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.