WATERTOWN REGIONAL MEDICAL CENTER INC (NPI# 1194938977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194938977 |
| Entity Type | Organization |
| Organization Name | WATERTOWN REGIONAL MEDICAL CENTER INC |
| Other Organization Name | UWHP WATERTOWN REGIONAL MEDICAL CENTER REHAB & SPORTS MEDICINE |
| Practice Address |
1684 S Church St Watertown WI 53094-6406 |
| Mailing Address |
125 Hospital Dr Watertown WI 53098-3303 |
| Practice Telephone | 9202624220 |
| Mailing Telephone | 9202624784 |
| Mailing Fax Number | 9202624640 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | MR. ROBERT JAMES KLUGE (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Telephone | 9202624784 |
| Is Organization Subpart | Y |
| Parent Organization Name | WATERTOWN REGIONAL MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
========= | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UWHP Watertown Regional Medical Center Rehab & Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689853210 | Watertown Regional Medical Center Inc | Family Medicine | 334 S Western Ave, Juneau, WI 53039-1163 | 2007-10-31 |
| 1578747580 | Watertown Regional Medical Center Inc | Family Medicine | 1507 Doctors Ct, Watertown, WI 53094-4101 | 2007-12-27 |
| 1427232495 | Watertown Regional Medical Center Inc | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2007-12-26 |
| 1053590687 | Watertown Regional Medical Center Inc | Family Medicine | 1025 Mulberry St, Lake Mills, WI 53551-1304 | 2007-10-31 |
| 1326227950 | Watertown Regional Medical Center Inc | Durable Medical Equipment & Medical Supplies | 125 Hospital Dr, Watertown, WI 53098-3303 | 2007-10-31 |
| 1154500783 | Watertown Regional Medical Center Inc | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2007-10-31 |
| 1962681593 | Watertown Regional Medical Center Inc | Obstetrics & Gynecology | 128 Hospital Dr, Watertown, WI 53098-3304 | 2007-10-31 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 1043499080 | Watertown Regional Medical Center Inc | Family Medicine | 540 Village Walk Ln, Johnson Creek, WI 53038-9554 | 2007-10-26 |
| 1821086034 | Watertown Regional Medical Center Inc | Clinic/Center | 129 Hospital Dr, Watertown, WI 53098-3334 | 2005-10-11 |
| Street Address |
1684 S CHURCH ST |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53094-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333732 | William E Fowler | Physical Medicine & Rehabilitation | 1684 S Church St, Watertown, WI 53094-6406 | 2006-02-02 |
| 1821241126 | Erin N. Lembrich | Physical Therapist | 1684 S Church St, Watertown, WI 53094-6406 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1558566497 | Georgia E Meyer | Occupational Therapist | Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 | 2007-06-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1114085412 | Paul R Sommers Dds Sc | Dentist | 121 Oakridge Court, Watertown, WI 53094 | 2006-12-05 |
| 1063593614 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 622 S Church St, Watertown, WI 53094 | 2006-10-18 |
| 1598851800 | David J Groh | Dentist | 1521 Doctors Ct, Watertown, WI 53094 | 2006-10-05 |
| 1861594251 | Robert Delano Heinen | General Practice | 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 | 2006-09-05 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| Find all providers in zip 53094 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581875 | Taylor Hodgson | Clinic/Center | 51 Water St, Watertown, MA 02472-4611 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662465 | Momentum Movement Clinic LLC | Clinic/Center | 400 W Moreland Blvd Ste A, Waukesha, WI 53188-2425 | 2019-10-30 |
| 1508409293 | Boost Home Health LLC | Clinic/Center | 1198 121st Ave, New Richmond, WI 54017-7158 | 2019-10-24 |
| 1912481185 | Visiting Nurse Community Care, Inc. | Clinic/Center | 600 52nd St Ste 300, Kenosha, WI 53140-3423 | 2018-09-24 |
| 1790270932 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 533 E Calumet St, Chilton, WI 53014-1649 | 2018-06-29 |
| 1225548316 | Thrive Learning Center, LLP | Clinic/Center | N3219 County Road H Ste F, Lake Geneva, WI 53147-7074 | 2017-10-03 |
| 1720431877 | Milwaukee Center for Independence | Clinic/Center | 6100 N Baker Rd, Glendale, WI 53209-3704 | 2016-07-13 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1417367509 | Specialized Therapy Services LLC | Clinic/Center | 890 Elm Grove Rd Ste 1-1, Elm Grove, WI 53122-2528 | 2014-04-29 |
| 1710300173 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1800 Bluebell Ln, C/o Harmony of Stevens Point, Stevens Point, WI 54482-8983 | 2014-01-21 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WATERTOWN REGIONAL MEDICAL CENTER INC.
| 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.