FORT HEALTHCARE, INC


Address: 1461 W Main St, Whitewater, WI 53190-1568
Phone: 2624734081

FORT HEALTHCARE, INC (NPI# 1679632004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679632004
Entity Type Organization
Organization Name FORT HEALTHCARE, INC
Other Organization Name FORT MEDICAL GROUP WHITEWATER
Practice Address 1461 W Main St
Whitewater
WI 53190-1568
Practice Telephone 2624734081
Practice Fax Number 2624737705
Mailing Telephone 2624734081
Mailing Fax Number 2624737705
Enumeration Date 2006-12-08
Last Update Date 2009-06-11
Authorized Official Name JAMES NELSON (VP CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 9205685000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 208800000X Urology Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 21274000 05
WI 42237700 05
WI 21274900 05
WI 32671300 05

Other Provider/Organization Names

Other Name Type Code
FORT MEDICAL GROUP WHITEWATER Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558422733 Fort Healthcare, Inc Family Medicine 500 Edward St, Fort Atkinson, WI 53538-1821 2006-12-12
1679700066 Fort Healthcare, Inc Otolaryngology 528 Stoughton Rd, Ste 2, Edgerton, WI 53534-1137 2009-06-12
1245430461 Fort Healthcare, Inc Dermatology 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 2007-07-25
1063566966 Fort Healthcare, Inc Home Health 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 2007-01-22
1881755767 Fort Healthcare, Inc Obstetrics & Gynecology 650 Mcmillen St, Fort Atkinson, WI 53538-1275 2006-12-13

Office Location

Street Address 1461 W MAIN ST
City WHITEWATER
State WI
Zip Code 53190-1568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265459937 Nancy Ann Haugen Specialist/Technologist 1461 W Main St, Suite F, Whitewater, WI 53190-1568 2006-07-17
1649313578 Rock River Foot & Ankle Clinic, Sc Podiatrist 1461 W Main St, Whitewater, WI 53190-1568 2007-02-14
1235279902 Anne Flemming-coburn Occupational Therapist 1461 W Main St, Whitewater, WI 53190-1568 2007-02-08
1376696989 Thomas Michael Jones Physical Therapist 1461 W Main St, Whitewater, WI 53190-1568 2007-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962908608 Shannon Bashor Specialist/Technologist 907 W Schwager Dr, Whitewater, WI 53190 2018-04-02
1922542695 Terry Teipner Counselor 1173 W Main St Ste B, Whitewater, WI 53190 2016-12-14
1063800100 Courtney Stefanski Specialist/Technologist 900 Schwager Drive, Whitewater, WI 53190 2014-12-23
1275942989 Courtney Palubicki Specialist/Technologist 907 W. Schwager Drive, Whitewater, WI 53190 2014-08-06
1548491087 Ann Marie Welch Registered Nurse 9640 N. County Line Rd, Whitewater, WI 53190 2009-07-31
1780801423 Marsha Lee Mckinnon Registered Nurse 710 Starin Road, Whitewater, WI 53190 2007-04-20
1164599387 Michael J Kellum Emergency Medicine W9575 Homburg Lane, Whitewater, WI 53190 2006-11-30
1861596371 Brian William Veale Chiropractor 543 S Putnam St, Whitewater, WI 53190 2006-09-13
1629508908 Erin Kae Clark Specialist/Technologist 800 W Main St, Williams Center 105g, Whitewater, WI 53190 2017-06-19
1952854150 Rebecca K Hamman Nurse Practitioner 710 W Starin Rd, Whitewater, WI 53190 2016-07-25
Find all providers in zip 53190

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366542680 Richard Brian Hilgenfeld Internal Medicine 10232 K 196 Hwy, Whitewater, KS 67154-9090 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295350973 Nelson Nwumeh Internal Medicine 8338 Gridley Ave, Wauwatosa, WI 53213-3042 2020-06-09
1730718560 Kevin Mcdonald Internal Medicine Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 2020-04-03
1487216560 Somto Tagbo Nwaedozie Internal Medicine 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 2019-06-28
1851816862 Cubic Life Integrative Care S.c. Internal Medicine 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 2017-08-10
1407387673 Navkiran Kaur Dhillon Internal Medicine 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 2017-03-21
1639617665 Edward Min Chi Internal Medicine 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 2017-02-09
1821542739 Mark Ridder Internal Medicine M120 Highway 97, Marshfield, WI 54449 2016-08-09
1093166266 Alexa Mary Clare Gavaga Internal Medicine 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 2016-06-28
1437513173 Jonathan Shaffer Internal Medicine 4600 N Cramer St, Whitefish Bay, WI 53211-1203 2016-04-08
1750743159 Andrew Charles Rose Internal Medicine 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 2016-03-24
Find all providers with the same taxonomy

Competitor

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City WHITEWATER
Zip Code 53190

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Dataset Information

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.

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