WILDWOOD FAMILY CLINIC, SC (NPI# 1225115124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225115124 |
| Entity Type | Organization |
| Organization Name | WILDWOOD FAMILY CLINIC, SC |
| Practice Address |
535 Southing Grange Cottage Grove WI 53527-9338 |
| Practice Telephone | 6088393515 |
| Practice Fax Number | 6088393541 |
| Mailing Telephone | 6088393515 |
| Mailing Fax Number | 6088393541 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHERYL GREEN (ADMINISTRATOR) |
| Authorized Official Telephone | 6082211501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32721000 | 05 |
| Street Address |
535 SOUTHING GRANGE |
| City | COTTAGE GROVE |
| State | WI |
| Zip Code | 53527-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922322619 | Sheryl Spitzer -resnick Md, LLC | Family Medicine | 251 East Cottage Grove Road, Cottage Grove, WI 53527 | 2010-03-24 |
| 1750429254 | Patricia Anne Gillette | Counselor | 310 North Midvale Blvd, Suite 202, Madison, WI 53527 | 2007-02-05 |
| 1548363104 | Erik C Toijala | Chiropractor | 536 Southing Grange Rd, Unite A, Cottage Grove, WI 53527 | 2006-09-07 |
| 1295785079 | Shared Medical Services, Inc. | Clinic/Center | 209 Limestone Pass, Cottage Grove, WI 53527 | 2006-05-11 |
| 1467411504 | Jeffrey A Fischer | Physician Assistant | 500 Westlawn Dr, Cottage Grove, WI 53527 | 2006-03-18 |
| 1114297306 | Margaret Ann Hojem | Physical Therapist | 716 Weald Bridge Rd, Cottage Grove, WI 53527-8202 | 2012-01-05 |
| 1255691580 | Erin-kirsti Colstad | Registered Nurse | 203 S Main St, #1, Cottage Grove, WI 53527-8301 | 2012-05-21 |
| 1356392625 | Deer-grove Ems District | Ambulance | 4030 County Rd N, Cottage Grove, WI 53527-8305 | 2006-05-12 |
| 1760004030 | Deborah Ellen Uschan | Registered Nurse | 704 Weald Bridge Rd, Cottage Grove, WI 53527-8306 | 2020-05-10 |
| 1336679083 | Cj Karas Dds of Cottage Grove | Clinic/Center | 2848 Cottage Grove Rd, Cottage Grove, WI 53527-8862 | 2017-06-15 |
| Find all providers in zip 53527 | ||||
| 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 |
|---|---|---|---|---|
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1821363227 | James Michael Tandrow | Family Medicine | 205 Buttercup Loop, Cottage Grove, OR 97424-2069 | 2012-03-19 |
| 1922322619 | Sheryl Spitzer -resnick Md, LLC | Family Medicine | 251 East Cottage Grove Road, Cottage Grove, WI 53527 | 2010-03-24 |
| 1821277716 | Shaswita Chintalpuri | Family Medicine | 7500 80th Street South, Suite 100 - Mail Stop 34624a, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | 2007-10-29 |
| 1912120114 | Mary E Gabriele | Family Medicine | 502 E Whiteaker Ave, Cottage Grove, OR 97424-1648 | 2007-04-10 |
| 1386769735 | Joseph R.f. Kalugdan | Family Medicine | 7500 80th St S Ste 100, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | 2007-03-21 |
| 1275663247 | Paul A Bilder | Family Medicine | 1445 Gateway Blvd., Cottage Grove, OR 97424 | 2007-03-07 |
| 1487748943 | Katrina Carol Groves-rehwaldt | Family Medicine | 1515 Village Dr Ste 200, Cottage Grove, OR 97424 | 2006-10-02 |
| 1215980792 | Martha J Masciopinto | Family Medicine | 10010 Kimbro Ave S, Cottage Grove, MN 55016-4151 | 2006-05-18 |
| 1821059692 | Stacey L Ko | Family Medicine | 7500 80th St S, Suite 100 - Ms 34624a, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | 2006-03-31 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 53527 |
Please comment or provide details below to improve the information on WILDWOOD FAMILY CLINIC, SC.
| 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.