WATERTOWN PHYSICIAN PRACTICES LLC (NPI# 1003383027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003383027 |
| Entity Type | Organization |
| Organization Name | WATERTOWN PHYSICIAN PRACTICES LLC |
| Practice Address |
132 Hospital Dr Watertown WI 53098-3304 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 9202612020 |
| Practice Fax Number | 9202610457 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Watertown Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 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 |
| 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 |
132 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093997355 | Kristin Elizabeth Hanington Erickson | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098 | 2007-11-28 |
| 1740337518 | Terry L Turke | Family Medicine | 132 Hospital Dr, Watertown, WI 53098-3304 | 2007-01-04 |
| 1619024494 | Teresa G Grimes | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098-3304 | 2007-01-04 |
| 1003963877 | Turke Family Medicine, S.c. | Family Medicine | 132 Hospital Dr, Watertown, WI 53098-3304 | 2007-01-04 |
| 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 | 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 |
|---|---|---|---|---|
| 1871710095 | Mary Jane Moran Brackett | Family Medicine | 45 Litchfield Rd, Watertown, CT 06795-1944 | 2007-04-19 |
| 1215058367 | Rosemary E Pomponio | Family Medicine | 376 Arsenal St, Watertown, MA 02472-2892 | 2007-04-03 |
| 1932232378 | Primary Health of Northern New York, Pllc | Family Medicine | 156 Clinton St, Watertown, NY 13601-3602 | 2007-03-14 |
| 1649359209 | Heidi R Wuerger | Family Medicine | 309 Jefferson Ave Sw, Watertown, MN 55388-8101 | 2006-11-03 |
| 1427071125 | Robert John Kasulke | Family Medicine | 270 Clinton St, Watertown, NY 13601-3620 | 2006-07-25 |
| 1992758270 | Jason F. White | Family Medicine | 53-59 Public Square Suite 301, Watertown Internists, PC, Watertown, NY 13601 | 2006-05-18 |
| 1679521132 | Joseph Wetterhahn | Family Medicine | 1575 Washington St, Watertown, NY 13601-9367 | 2006-05-05 |
| 1154305662 | Scott M Jensen | Family Medicine | 204 Lewis Ave S Ste 201, Watertown, MN 55388-4502 | 2005-11-30 |
| 1790768364 | William Curtis Whisler | Family Medicine | 204 Lewis Ave S, Suite 200, Watertown, MN 55388-4500 | 2005-11-28 |
| 1013908771 | Robert Steven Legrow | Family Medicine | 127 Hospital Dr, Watertown, WI 53098-3303 | 2005-11-02 |
| Find all providers in WATERTOWN | ||||
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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.