MONROE CLINIC (NPI# 1073653523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073653523 |
| Entity Type | Organization |
| Organization Name | MONROE CLINIC |
| Practice Address |
515 22nd Ave Monroe WI 53566-1569 |
| Practice Telephone | 6083241175 |
| Practice Fax Number | 6083241214 |
| Mailing Telephone | 6083241175 |
| Mailing Fax Number | 6083241214 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SANDRA NELSON (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 6083241175 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 1201-026 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40620100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014571 | Monroe Clinic | General Acute Care Hospital | 2714 Yahara Rd, Stoughton, WI 53589-3369 | 2013-02-12 |
| 1386983799 | Monroe Clinic | General Acute Care Hospital | 229 Hancock Dr, Orangeville, IL 61060-9698 | 2013-02-05 |
| 1245576347 | Monroe Clinic | Rehabilitation Hospital | 515 22nd Ave, Monroe, WI 53566-1569 | 2012-12-17 |
| 1003148677 | Monroe Clinic | Clinic/Center | 515 22nd Avenue, Monroe, WI 53566-1569 | 2010-02-08 |
| Street Address |
515 22ND AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354553 | Mark W. Collar | Anesthesiology | 515 22nd Ave, Monroe Clinic, Monroe, WI 53566-1569 | 2005-11-23 |
| 1316546724 | Melissa Anne Anderson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-19 |
| 1356949382 | Olivia Caroline Lemanski | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-12 |
| 1023620382 | Katelyn Rebecca Marie Neverman | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-08-18 |
| 1619586393 | Lauren Marie Shawl | Social Worker | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-28 |
| 1508484676 | Ashley Moore | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-06 |
| 1164043584 | Erica Yumi Yamamoto | Student in an Organized Health Care Education/Training Program | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-04-27 |
| 1982231668 | Scott Soja | Specialist/Technologist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-24 |
| 1942835707 | Daniel Douglas Troutner | Physician Assistant | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-11 |
| 1649817222 | Samuel A. Cook | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2019-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540358 | Aimee L. Swain | General Acute Care Hospital | 4726 Rollins Pointe Dr, Monroe, NC 28110-7117 | 2015-02-13 |
| 1255509584 | Gunnison Valley Hospital | General Acute Care Hospital | 260 E Center St, Monroe, UT 84754-4272 | 2008-02-20 |
| 1417167214 | The Systemic Awakening | General Acute Care Hospital | 1911 Jackson St, Monroe, LA 71202-2531 | 2007-05-23 |
| 1619929619 | Metro West Anesthesia | General Acute Care Hospital | 1302 N 2nd St, Monroe, LA 71201 | 2006-05-17 |
| 1215939210 | Brfhh Monroe LLC | General Acute Care Hospital | 4864 Jackson St, Hospital Administration, Monroe, LA 71202-6400 | 2005-08-10 |
| 1225031495 | Monroe Surgical Hospital, LLC | General Acute Care Hospital | 2408 Broadmoor Blvd., Monroe, LA 71201 | 2005-05-23 |
| 1437635505 | Mercy Memorial Hospital Corporation | General Acute Care Hospital | 718 N Macomb St, Monroe, MI 48162-7815 | 2018-07-12 |
| 1720589328 | Piedmont Walton Hospital Inc | General Acute Care Hospital | 2151 W Spring St, Monroe, GA 30655-3202 | 2018-02-28 |
| 1689008732 | Brfhh Monroe, LLC | General Acute Care Hospital | 4864 Jackson St, Monroe, LA 71202-6400 | 2013-08-26 |
| 1134489925 | Public Hospital District 1 of Snohomish County | General Acute Care Hospital | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2012-05-25 |
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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.