PRAIRIE RIDGE HEALTH, INC. (NPI# 1912329335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912329335 |
| Entity Type | Organization |
| Organization Name | PRAIRIE RIDGE HEALTH, INC. |
| Other Organization Name | COLUMBUS COMMUNITY HOSPITAL, INC. |
| Practice Address |
1511 Park Ave Columbus WI 53925-2401 |
| Practice Telephone | 9206232200 |
| Mailing Telephone | 9206231200 |
| Mailing Fax Number | 9206231340 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | MR. JOHN RUSSELL (PRESIDENT & CEO) |
| Authorized Official Telephone | 9206231368 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBUS COMMUNITY HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Columbus Community Hospital, Inc. | Former Legal Business Name - Organization |
| Prairie Ridge Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905846 | Prairie Ridge Health, Inc. | Pharmacy | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-11-13 |
| 1477005544 | Prairie Ridge Health, Inc. | Clinical Nurse Specialist | 301 W Main St, Marshall, WI 53559-9799 | 2016-10-25 |
| 1093137416 | Prairie Ridge Health, Inc. | Surgery | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2014-01-21 |
| 1841376183 | Prairie Ridge Health, Inc. | General Acute Care Hospital | 1515 Park Ave, Columbus, WI 53925-2402 | 2006-10-30 |
| 1750467098 | Prairie Ridge Health, Inc. | Medicare Defined Swing Bed Unit | 1515 Park Ave, Columbus, WI 53925-2402 | 2006-10-30 |
| 1154403657 | Prairie Ridge Health, Inc. | General Acute Care Hospital | 1515 Park Ave, Columbus, WI 53925-2402 | 2006-10-20 |
| Street Address |
1511 PARK AVE |
| City | COLUMBUS |
| State | WI |
| Zip Code | 53925-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059558 | Katelyn Michele Knapp | Dietitian, Registered | 1511 Park Ave, Columbus, WI 53925-2401 | 2019-12-04 |
| 1346776523 | John M Bohn | Pediatrics | 1511 Park Ave, Columbus, WI 53925-2401 | 2017-05-07 |
| 1326324005 | St. Marys Dean Ventures, Inc | Durable Medical Equipment & Medical Supplies | 1511 Park Ave, Columbus, WI 53925-2401 | 2011-10-26 |
| 1912141433 | Elizabeth A Larson | Family Medicine | 1511 Park Ave, Columbus, WI 53925-2401 | 2009-04-28 |
| 1033370085 | Aaron H Thornton | Nurse Anesthetist, Certified Registered | 1511 Park Ave, Columbus, WI 53925-2401 | 2008-06-23 |
| 1194984880 | Family & Sports Orthopaedic Center, LLC | Orthopaedic Surgery | 1511 Park Ave, Columbus, WI 53925-2401 | 2008-06-06 |
| 1831384874 | Dawn Marie Faust | Nurse Practitioner | 1511 Park Ave, Columbus, WI 53925-2401 | 2007-09-12 |
| 1689871451 | Rocky Mountain Urology,llc | Urology | 1511 Park Ave, Suite F, Columbus, WI 53925-2401 | 2007-06-27 |
| 1740343359 | Rocky Mountain Urology LLC | Urology | 1511 Park Ave, Suite F, Columbus, WI 53925-2401 | 2006-12-18 |
| 1548209695 | Heidi Hughes | Physician Assistant | 1511 Park Ave, Columbus, WI 53925-2401 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275833659 | Beaver Dam Community Hosptials, Inc. | Family Medicine | 1580 W James St, Columbus, WI 53925 | 2010-11-01 |
| 1497972749 | Droessler Chiropractic Sc | Chiropractor | 1349 Park Avenue, Columbus, WI 53925 | 2007-04-19 |
| 1164487328 | Drs Beck & Becker Sc | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-04-19 |
| 1245864735 | Margaret Mary Frank | Pharmacist | 1500 W James St, Columbus, WI 53925 | 2020-02-24 |
| 1487094686 | Tiana M Imhoff | Physician Assistant | 1515 Park Ave, Columbus, WI 53925 | 2013-07-02 |
| 1821343401 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 200 Commerce Dr, Columbus, WI 53925 | 2012-07-19 |
| 1689987372 | Erin Renee Hills | Nurse Practitioner | 1515 Park Ave, Columbus, WI 53925 | 2010-07-22 |
| 1184723645 | James Michael Beck | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1194824649 | William James Becker | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1689756157 | Walgreen Co | Pharmacy | 1500 W James St, Columbus, WI 53925-1001 | 2006-10-20 |
| Find all providers in zip 53925 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164861449 | Shawn R Brandenburg | Orthopaedic Surgery | 4508 38th Street, Suite 133, Columbus, NE 68601-1668 | 2013-06-19 |
| 1346549383 | Ohiohealth Corporation | Orthopaedic Surgery | 340 E Town St Ste 7-600, Columbus, OH 43215-4693 | 2011-03-16 |
| 1952600074 | Ohiohealth Corporation | Orthopaedic Surgery | 5141 W Broad St Ste 150, Columbus, OH 43228-1984 | 2011-03-16 |
| 1528367562 | Ohiohealth Corporation | Orthopaedic Surgery | 5131 Beacon Hill Rd Ste 160, Columbus, OH 43228-4441 | 2011-03-16 |
| 1598063620 | Ohiohealth Corporation | Orthopaedic Surgery | 340 E Town St Ste 7-250, Columbus, OH 43215-4615 | 2011-03-15 |
| 1881927143 | Hatheway Orthopaedics | Orthopaedic Surgery | 720 E. Broad St, Suite 100, Columbus, OH 43215 | 2009-09-17 |
| 1932336997 | Tamara N Huff | Orthopaedic Surgery | 2300 Manchester Expy Ste 101a, Columbus, GA 31904-6802 | 2009-06-17 |
| 1699966044 | Ryan M Geringer | Orthopaedic Surgery | 6262 Veterans Parkway, Columbus, GA 31909-3540 | 2007-08-09 |
| 1427254515 | Matthew Edgeley Lovell | Orthopaedic Surgery | 940 North Marr, Suite C, Columbus, IN 47201 | 2007-06-25 |
| 1659405793 | Kenny B Edwards | Orthopaedic Surgery | 670 Leigh Drive, Columbus, MS 39705 | 2007-03-14 |
| Find all providers in COLUMBUS | ||||
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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.