PALADINA HEALTH, LLC (NPI# 1750835054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750835054 |
| Entity Type | Organization |
| Organization Name | PALADINA HEALTH, LLC |
| Other Organization Name | PALADINA HEALTH MAYVILLE |
| Practice Address |
11 S Main St Mayville WI 53050-1641 |
| Practice Telephone | 8668086005 |
| Practice Fax Number | 9786202348 |
| Mailing Telephone | 8668086005 |
| Mailing Fax Number | 9786202348 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | MS. ANGELIA WARTH WHITE (MARKET LEADER) |
| Authorized Official Telephone | 7274578286 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA HEALTHCARE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Paladina Health Mayville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030829 | Paladina Health, LLC | Family Medicine | 11990 Grant St Ste 100, Northglenn, CO 80233-5156 | 2020-10-15 |
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1275191629 | Paladina Health, LLC | Family Medicine | 631 Grand St Ste 2-500, Jersey City, NJ 07304-3451 | 2019-05-31 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Paladina Health, LLC | 1551 Wewatta Street, Denver, CO 80202 |
| Washington State Corporations | PALADINA HEALTH, LLC | 1551 Wewatta St, Denver, CO 80202-6173 |
| Street Address |
11 S MAIN ST |
| City | MAYVILLE |
| State | WI |
| Zip Code | 53050-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728496 | Quad/med, LLC | Clinic/Center | 725 South Street, Mayville, WI 53050 | 2019-09-05 |
| 1427262989 | Ellen Anne Demeyer | Occupational Therapist | 305 S. Clark St., Mayville, WI 53050 | 2007-05-10 |
| 1477683142 | Horicon Street Chiropractic, S.c. | Chiropractor | 935 Horicon St., Mayville, WI 53050 | 2007-03-06 |
| 1649316514 | Cyndi L Jurgensen | Chiropractor | 935 Horicon, Mayville, WI 53050 | 2007-01-29 |
| 1164841110 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2050 Horicon St, Mayville, WI 53050 | 2014-04-07 |
| 1194032383 | Jennifer Radke | Occupational Therapy Assistant | 210 Mary St, Apt. 103, Mayville, WI 53050-1080 | 2010-09-09 |
| 1841733474 | Joy Wagner | Marriage & Family Therapist | 668 N Main St Ste 7, Mayville, WI 53050-1249 | 2016-11-30 |
| 1255953923 | Healing Relationships LLC | Marriage & Family Therapist | 668 N Main St Ste 7, Mayville, WI 53050-1249 | 2020-05-15 |
| 1851396931 | James John Herget | Dentist | 1766 Horicon St, Mayville, WI 53050-1256 | 2005-06-16 |
| 1649484528 | Amy Karin Kulig | Pharmacist | 2050 Horicon St, Mayville, WI 53050-1423 | 2007-05-09 |
| Find all providers in zip 53050 | ||||
| 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 |
|---|---|---|---|---|
| 1619072204 | Family Health Medical Services Pllc | Family Medicine | 95 East Chautauqua St., Mayville, NY 14757-0168 | 2006-09-14 |
| 1427049063 | Beth Collister | Family Medicine | 360 S Mountin Dr, Mayville, WI 53050-1498 | 2005-11-02 |
| 1154821387 | Mayville Family Practice LLC | Family Medicine | 130 S Main St, Mayville, WI 53050-1620 | 2018-02-14 |
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 1114281250 | Sanford Health Network North | Family Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2012-07-03 |
| 1851610950 | Jeremy Martin Riedesel | Family Medicine | 95 E Chautauqua St, Mayville, NY 14757-0168 | 2010-05-28 |
| 1063672749 | Jane Ostlie | Family Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2008-06-16 |
| 1376625103 | Charles E Sammis | Family Medicine | 130 S Main St, Mayville, WI 53050-1620 | 2006-10-20 |
| 1316028400 | Maria Livieratos | Family Medicine | 2180 E Ohmer Rd, Mayville, MI 48744 | 2006-10-17 |
| 1093755068 | Alisha L Ketterer | Family Medicine | 360 S Mountin Dr, Mayville, WI 53050-1498 | 2006-06-07 |
| Find all providers in MAYVILLE | ||||
Please comment or provide details below to improve the information on PALADINA HEALTH, LLC.
| 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.