SAUK PRAIRIE HEALTHCARE INC (NPI# 1740425057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740425057 |
| Entity Type | Organization |
| Organization Name | SAUK PRAIRIE HEALTHCARE INC |
| Other Organization Name | INTERNAL MEDICINE CLINIC |
| Practice Address |
260 26th St Prairie Du Sac WI 53578-1599 |
| Mailing Address |
Po Box 160 Prairie Du Sac WI 53578-0160 |
| Practice Telephone | 6086433311 |
| Mailing Telephone | 6086433311 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | JAMES DREGNEY (CFO) |
| Authorized Official Telephone | 6086437212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100001867 | 05 | |
| RAILROAD MEDICARE | DA6064 | 01 |
| Other Name | Type Code |
|---|---|
| INTERNAL MEDICINE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609841568 | Sauk Prairie Healthcare Inc | Clinic/Center | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-02-22 |
| 1225003445 | Sauk Prairie Healthcare Inc | Clinic/Center | 160 Valley Dr, Lodi, WI 53555-1464 | 2006-02-21 |
| 1073588299 | Sauk Prairie Healthcare Inc | Family Medicine | 506 Crocker St Ste 3, Mazomanie, WI 53560-9426 | 2006-02-21 |
| 1093220246 | Sauk Prairie Healthcare Inc | Clinic/Center | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-12-11 |
| 1336488741 | Sauk Prairie Healthcare Inc | Orthopaedic Surgery | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2013-02-05 |
| 1396884474 | Sauk Prairie Healthcare Inc | Nurse Anesthetist, Certified Registered | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1205975380 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1437298684 | Sauk Prairie Healthcare Inc | Medicare Defined Swing Bed Unit | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-05 |
| 1134194004 | Sauk Prairie Healthcare Inc | Clinic/Center | 825 Main St, Plain, WI 53577-9668 | 2006-02-22 |
| 1861466153 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2006-02-14 |
| Street Address |
260 26TH ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip Code | 53578-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104802156 | Arnold N. Rosenthal | Orthopaedic Surgery | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2005-12-21 |
| 1609423193 | Aaron Hoekstra | Nurse Practitioner | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2019-08-20 |
| 1588226278 | Denise Marie Cole-ouzounian | Clinical Nurse Specialist | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2019-07-02 |
| 1780249243 | Teresa Denise Bare-inman | Physical Therapy Assistant | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2019-05-09 |
| 1225522428 | Morgan C Hormig | Physician Assistant | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2018-06-20 |
| 1902390768 | Kelsey M Greenwood | Social Worker | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2018-06-15 |
| 1295243806 | Angela M Sorg | Nurse Practitioner | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2018-01-17 |
| 1093220246 | Sauk Prairie Healthcare Inc | Clinic/Center | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-12-11 |
| 1477079721 | Lance Rodenbur | Physical Therapy Assistant | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-08-18 |
| 1568988376 | Isaac J Hoffmaster | Dietitian, Registered | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272341 | Christianson Pfau Chiropractic LLC | Chiropractor | 1190 Prairie Street, Prairie Du Sac, WI 53578 | 2007-04-06 |
| 1184665291 | Kerri Michele Lehman | Psychologist | 1190 Prairie St., Prairie Du Sac, WI 53578 | 2006-06-09 |
| 1619933496 | Jennifer Ann Yessa-kast | Social Worker | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-21 |
| 1598734956 | Eric A Warbasse | Family Medicine | 80 First St, Sauk Prairie Memorial Hospital and Clinics, Prairie Du Sac, WI 53578 | 2006-03-16 |
| 1215959812 | James Franklin Williams | Social Worker | 560 4th St, Pathway Clinic, Prairie Du Sac, WI 53578 | 2006-07-24 |
| 1629035324 | Michael L Hammer | Psychologist | 560 4th St, Pathway Clinic Sc, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1871550517 | Jean Mcelhaney | Counselor | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1407093693 | Mihal Davis | Acupuncturist | 608 Water St, Prairie Du Sac, WI 53578-1027 | 2009-01-09 |
| 1528220472 | Tina Rios | Custodial Care Facility | 601 21st St, Prairie Du Sac, WI 53578-1068 | 2008-07-01 |
| 1124052451 | Raelyn Katherine Eannelli | Nurse Practitioner | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-07-11 |
| Find all providers in zip 53578 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921046 | Sandhya V Shah | Internal Medicine | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2005-06-09 |
| 1467519801 | Sauk Prairie Internal Medicine, Ltd. | Internal Medicine | 35 Prairie Ave, Suite 200, Prairie Du Sac, WI 53578-1500 | 2007-01-03 |
| 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 | ||||
| City | PRAIRIE DU SAC |
| Zip Code | 53578 |
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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.