WATERTOWN UROLOGY, S.C. (NPI# 1801981279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801981279 |
Entity Type | Organization |
Organization Name | WATERTOWN UROLOGY, S.C. |
Practice Address |
123 Hospital Drive Suite 2002 Watertown WI 53098 |
Practice Telephone | 9202611334 |
Practice Fax Number | 9202618755 |
Mailing Telephone | 9202611334 |
Mailing Fax Number | 9202618755 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-12-11 |
Authorized Official Name | DR. RONALD SCOTT SOKOVICH (UROLOGIST) |
Authorized Official Telephone | 9202611334 |
Authorized Official Credential | M.D. F.A.C.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 32955-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | PHYSICIANS PLUS | 1023956 | 01 |
WI | DEAN HEALTH PLAN | 553251 | 01 |
WI | 21281700 | 05 | |
WI | RAILROAD MEDICARE | DF8987 | 01 |
Street Address |
123 HOSPITAL DRIVE SUITE 2002 |
City | WATERTOWN |
State | WI |
Zip Code | 53098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
1992023493 | Sheila Kerri Sullivan | Ophthalmology | 123 Hospital Drive, Suite 1002, Watertown, WI 53098-3320 | 2010-05-07 |
1073652525 | Philip M Marden Md Sc | Allergy & Immunology | 123 Hospital Drive, Suite 212, Watertown, WI 53098-3336 | 2007-02-05 |
1548285273 | Peggy Burr | Physician Assistant | 123 Hospital Drive, Suite 2004, Watertown, WI 53098 | 2006-07-13 |
1942260518 | Eye Physicians of Watertown Sc | Optometrist | 123 Hospital Drive, Suite 1002, Watertown, WI 53098 | 2006-03-27 |
1639139074 | Holly C Van Hecke | Ophthalmology | 123 Hospital Drive, Suite 1002, Watertown, WI 53098 | 2006-03-27 |
1932177862 | Central Otologic Ltd | Otolaryngology | 123 Hospital Drive, Ste 106, Watertown, WI 53098 | 2006-03-08 |
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 |
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 |
1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
1942699632 | Morgan Lange Hennes | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098 | 2015-01-18 |
Find all providers in zip 53098 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396796074 | Ronald Scott Sokovich | Urology | 123 Hospital Dr Ste 2006, Watertown, WI 53098-3320 | 2006-05-15 |
1346408275 | Watertown Regional Medical Center, Inc | Urology | 123 Hospital Dr, Ste 2006, Watertown, WI 53098-3320 | 2008-05-28 |
1598709750 | Christopher J Adducci | Urology | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
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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.