MEADE MEDICAL CLINIC SC (NPI# 1396817789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396817789 |
| Entity Type | Organization |
| Organization Name | MEADE MEDICAL CLINIC SC |
| Practice Address |
134 Hospital Dr Watertown WI 53098-3304 |
| Mailing Address |
134 Hospital Drive Watertown WI 53098 |
| Practice Telephone | 9202616500 |
| Practice Fax Number | 9202616693 |
| Mailing Telephone | 9202616500 |
| Mailing Fax Number | 9202616693 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-10-29 |
| Authorized Official Name | JEFFREY A MEADE (PRESIDENT) |
| Authorized Official Telephone | 9202616500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32875700 | 05 |
| Street Address |
134 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034119 | Karie Ann Mantey | Pediatrics | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-06-24 |
| 1083013270 | Jan S Beyer | Nurse Practitioner | 134 Hospital Dr, Watertown, WI 53098-3304 | 2014-08-14 |
| 1164627162 | Jeannie Kaye Adams | Nurse Practitioner | 134 Hospital Dr, Watertown, WI 53098-3304 | 2007-06-19 |
| 1114914538 | Scott A Martin | Pediatrics | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-09-30 |
| 1528065257 | James Edward Meade | Family Medicine | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-07-07 |
| 1437156163 | Jeffrey Alan Meade | Pediatrics | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-07-07 |
| 1326045485 | Cheryl A Kolkovich | Physician Assistant | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-07-05 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882693 | My Health Clinic | Clinic/Center | 6300 N 76th St, Milwaukee, WI 53218-1208 | 2019-10-08 |
| 1710447008 | Afjv Inc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 | 2019-03-22 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
| 1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
| 1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
| 1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
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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.