PALADINA HEALTH, LLC (NPI# 1033676390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033676390 |
| Entity Type | Organization |
| Organization Name | PALADINA HEALTH, LLC |
| Practice Address |
Paladina Health Oconomowoc Sentry Equipment Circle 966 Blue Ribbon Circle N Oconomowoc WI 53066 |
| Mailing Address |
1400 Wewatta St Ste 350 Denver CO 80202-5553 |
| Practice Telephone | 2629777211 |
| Practice Fax Number | 2625677435 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | ANGELIA W WHITE (VICE PRESIDENT - OPERATIONS) |
| Authorized Official Telephone | 7274578286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
PALADINA HEALTH OCONOMOWOC SENTRY EQUIPMENT CIRCLE 966 BLUE RIBBON CIRCLE N |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| 1538306378 | Avolen, LLC | Massage Therapist | 206 S. Silver Lake St., Oconomowoc, WI 53066 | 2009-01-15 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1417085895 | Prohealth Care Medical Associates Inc | Family Medicine | 1306 W Wisconsin Ave, Suite 1002, Oconomowoc, WI 53066-2647 | 2007-02-28 |
| 1417014531 | Michael Loyal Cummens | Family Medicine | 1803 N Davies Dr, Oconomowoc, WI 53066-9216 | 2007-01-02 |
| 1568579449 | Thomas F Winters | Family Medicine | 1284 N Summit Ave, Oconomowoc, WI 53066-4459 | 2006-08-24 |
| 1942262936 | John E Kelly | Family Medicine | 820 E Summit Ave, Oconomowoc, WI 53066-3920 | 2006-04-05 |
| 1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
| 1639155872 | Kyle J Kircher | Family Medicine | 888 Thackeray Trl, Suite 103, Oconomowoc, WI 53066-4342 | 2005-12-20 |
| 1770914384 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366 | 2013-12-06 |
| 1508204355 | Midwest Health Services Inc | Family Medicine | 1370 Pabst Farms Cir, Suite 340a, Oconomowoc, WI 53066-4879 | 2013-06-13 |
| 1750727723 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366 | 2013-05-17 |
| 1871804336 | Charles Edward Allen Jr. | Family Medicine | 1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066-4887 | 2010-06-29 |
| Find all providers in OCONOMOWOC | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.