WATERTOWN REGIONAL MEDICAL CENTER, INC (NPI# 1659796878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659796878 |
| Entity Type | Organization |
| Organization Name | WATERTOWN REGIONAL MEDICAL CENTER, INC |
| Other Organization Name | UWHP WRMC INTEGRATIVE MEDICINE CLINIC |
| Practice Address |
125 Hospital Dr Watertown WI 53098-3303 |
| Mailing Address |
Po Box 684088 Chicago IL 60695-4088 |
| Practice Telephone | 9202624371 |
| Practice Fax Number | 9202624441 |
| Mailing Telephone | 9202624784 |
| Mailing Fax Number | 9202624640 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING) |
| Authorized Official Telephone | 9202624784 |
| Is Organization Subpart | Y |
| Parent Organization Name | WATERTOWN REGIONAL MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UWHP WRMC Integrative Medicine Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407035033 | Watertown Regional Medical Center, Inc | Clinic/Center | 700 Hoffman Dr, Watertown, WI 53094-6204 | 2007-10-31 |
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1205223518 | Watertown Regional Medical Center, Inc | Physical Medicine & Rehabilitation | 621 W Racine St, Jefferson, WI 53549-1048 | 2015-04-24 |
| 1770914384 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366 | 2013-12-06 |
| 1750727723 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366 | 2013-05-17 |
| 1194072660 | Watertown Regional Medical Center, Inc | Otolaryngology | 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320 | 2012-08-14 |
| 1629346028 | Watertown Regional Medical Center, Inc | Plastic Surgery | W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 | 2011-12-13 |
| 1356627699 | Watertown Regional Medical Center, Inc | Family Medicine | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3331 | 2011-11-01 |
| 1043593916 | Watertown Regional Medical Center, Inc | Plastic Surgery | 123 Hospital Dr, Ste 2003, Watertown, WI 53098-3331 | 2011-09-27 |
| 1013296391 | Watertown Regional Medical Center, Inc | Physician Assistant | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3336 | 2011-08-04 |
| Street Address |
125 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1669940664 | Ashleigh Douglas | Nurse Anesthetist, Certified Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-11-07 |
| 1336633080 | Sarah Sawall | Physical Therapist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-06-17 |
| 1720592454 | Kristine Elizabeth Bennett | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-11-16 |
| 1033620810 | Sheridan Healthcare Services of Wisconsin, S.c. | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-10-19 |
| 1285173666 | Kynsea S Zylka | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-02-17 |
| 1952844599 | Melissa Monroe | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-11-30 |
| 1902355373 | Asta Gurklys | Physician Assistant | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-27 |
| 1619425741 | Teresa Price | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-19 |
| 1558818492 | Wisconsin Physician Services Sc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1093997355 | Kristin Elizabeth Hanington Erickson | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098 | 2007-11-28 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871710095 | Mary Jane Moran Brackett | Family Medicine | 45 Litchfield Rd, Watertown, CT 06795-1944 | 2007-04-19 |
| 1215058367 | Rosemary E Pomponio | Family Medicine | 376 Arsenal St, Watertown, MA 02472-2892 | 2007-04-03 |
| 1932232378 | Primary Health of Northern New York, Pllc | Family Medicine | 156 Clinton St, Watertown, NY 13601-3602 | 2007-03-14 |
| 1649359209 | Heidi R Wuerger | Family Medicine | 309 Jefferson Ave Sw, Watertown, MN 55388-8101 | 2006-11-03 |
| 1427071125 | Robert John Kasulke | Family Medicine | 270 Clinton St, Watertown, NY 13601-3620 | 2006-07-25 |
| 1992758270 | Jason F. White | Family Medicine | 53-59 Public Square Suite 301, Watertown Internists, PC, Watertown, NY 13601 | 2006-05-18 |
| 1679521132 | Joseph Wetterhahn | Family Medicine | 1575 Washington St, Watertown, NY 13601-9367 | 2006-05-05 |
| 1154305662 | Scott M Jensen | Family Medicine | 204 Lewis Ave S Ste 201, Watertown, MN 55388-4502 | 2005-11-30 |
| 1790768364 | William Curtis Whisler | Family Medicine | 204 Lewis Ave S, Suite 200, Watertown, MN 55388-4500 | 2005-11-28 |
| 1013908771 | Robert Steven Legrow | Family Medicine | 127 Hospital Dr, Watertown, WI 53098-3303 | 2005-11-02 |
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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.