WATERTOWN PHYSICIAN PRACTICES LLC (NPI# 1861969149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861969149 |
| Entity Type | Organization |
| Organization Name | WATERTOWN PHYSICIAN PRACTICES LLC |
| Practice Address |
123 Hospital Dr Ste 2009 Watertown WI 53098-3320 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 9202624560 |
| Practice Fax Number | 9202060122 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | SHARLEE LEBLEU (SR. DIRECTOR) |
| Authorized Official Telephone | 6159207192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WRMC General Surgery | Doing Business As Name - Organization |
| 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 |
| 1699315366 | Watertown Physician Practices LLC | General Practice | 111 Dodge St, Watertown, WI 53094-4434 | 2020-01-10 |
| 1003383027 | Watertown Physician Practices LLC | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098-3304 | 2018-10-29 |
| 1225412265 | Watertown Physician Practices LLC | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2015-07-18 |
| 1760866891 | Watertown Physician Practices LLC | Counselor | 129 Hospital Dr, Watertown, WI 53098-3334 | 2015-07-18 |
| 1407230238 | Watertown Physician Practices LLC | Nurse Anesthetist, Certified Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2015-07-10 |
| 1770964363 | Watertown Physician Practices LLC | Internal Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2015-06-09 |
| Street Address |
123 HOSPITAL DR STE 2009 |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3320 |
| 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 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992097703 | Gregory Mark Gerrish | Surgery | 401 9th Ave. Nw, Prairie Lakes Hospital, Watertown, SD 57201-1623 | 2011-05-12 |
| 1578886933 | Daniel Adam Bryden | Surgery | 428 Washington St. Suite 1, Samaritan Medical Practice General Surgery, Watertown, NY 13601 | 2010-03-12 |
| 1619124724 | Walter A. Minaert, Md PC | Surgery | 21017 Nys Rte 12f, Watertown, NY 13601-1078 | 2008-08-20 |
| 1154472124 | Alvin Maloney, M.d. | Surgery | 428 Washington St Suite 1, Watertown, NY 13601 | 2007-01-16 |
| 1528150737 | North Country Physicians, Pllc | Surgery | 21017 Nys Rt 12f, Watertown, NY 13601-1078 | 2006-09-28 |
| 1699881573 | James Stillerman | Surgery | 165 Coleman Ave, Watertown, NY 13601-2217 | 2006-08-22 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| 1851328025 | Walter August Minaert Jr. | Surgery | 21017 State Route 12f, Watertown, NY 13601-1078 | 2006-06-26 |
| 1801834023 | Robert S Nierman | Surgery | 705 Mt. Auborn Street, Tufts Health Plan, Watertown, MA 02472 | 2006-06-02 |
| 1942293188 | Alvin Hugh Andrew Maloney | Surgery | 26347 State Route 3, Watertown, NY 13601-1749 | 2005-08-23 |
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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.