WATERTOWN REGIONAL MEDICAL CENTER INC (NPI# 1427232495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427232495 |
| Entity Type | Organization |
| Organization Name | WATERTOWN REGIONAL MEDICAL CENTER INC |
| Other Organization Name | UWHP WRMC WATERLOO CLINIC |
| Practice Address |
111 Anna St Waterloo WI 53594-1184 |
| Mailing Address |
Po Box 684088 Chicago IL 60695-4088 |
| Practice Telephone | 9204783776 |
| Practice Fax Number | 9204783979 |
| Mailing Telephone | 9202624784 |
| Mailing Fax Number | 9202624640 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MR. ROBERT JAMES KLUGE (PATIENT ACCOUNTING 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 | 207Q00000X | Family Medicine | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21320100 | 05 |
| Other Name | Type Code |
|---|---|
| UWHP WRMC Waterloo Clinic | 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 |
| 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 |
| 1194938977 | Watertown Regional Medical Center Inc | Clinic/Center | 1684 S Church St, Watertown, WI 53094-6406 | 2007-05-08 |
| 1821086034 | Watertown Regional Medical Center Inc | Clinic/Center | 129 Hospital Dr, Watertown, WI 53098-3334 | 2005-10-11 |
| Street Address |
111 ANNA ST |
| City | WATERLOO |
| State | WI |
| Zip Code | 53594-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053361246 | Jenifer A Siragusa | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2006-05-11 |
| 1235150046 | Julee R Radtke | Nurse Practitioner | 111 Anna St, Waterloo, WI 53594-1184 | 2006-07-21 |
| 1043237910 | Sandra K Roof | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2006-07-16 |
| 1760409536 | Park Hill Clinic, Sc | Family Medicine | 111 Anna St, Waterloo, WI 53594-1184 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437571320 | Waterloo Family Dental | Dentist | 245 N. Monroe Street, Waterloo, WI 53594 | 2014-01-10 |
| 1073672440 | Drs Anderson & Arena | Dentist | 245 N Monroe St, Waterloo, WI 53594 | 2006-12-08 |
| 1407921729 | Krystal Renee Allison | Registered Nurse | N7809 Toppe Rd, Waterloo, WI 53594 | 2006-11-21 |
| 1467837054 | Emilie Benisch | Licensed Practical Nurse | 362 Crestview Dr, Waterloo, WI 53594-1011 | 2015-07-23 |
| 1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
| 1447445465 | Joseph L Arena | Dentist | 245 N Monroe St, Drs Anderson & Arena, Waterloo, WI 53594-1126 | 2007-09-12 |
| 1831693134 | Waterloo Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 806 N Monroe St, Waterloo, WI 53594-1135 | 2018-03-21 |
| 1447882212 | Adrianne Parker Anding | Specialist/Technologist | 324 N Monroe St Apt A, Waterloo, WI 53594-1154 | 2020-02-10 |
| 1275712804 | Waterloo School District | Local Education Agency (LEA) | 813 N Monroe St, Waterloo, WI 53594-1171 | 2007-10-31 |
| 1679707624 | Danielle K Wolf | Licensed Practical Nurse | 1053 Jills Ct, Waterloo, WI 53594-1193 | 2009-05-05 |
| Find all providers in zip 53594 | ||||
| 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 |
|---|---|---|---|---|
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1033777610 | Emily Rose Pursley | Family Medicine | Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1609434281 | Shalini Chowdavarapu | Family Medicine | Ne Ia Family Practice Center, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1669826640 | Sapna Patel | Family Medicine | 2140 Logan Ave Ste C, Waterloo, IA 50703-1002 | 2016-04-15 |
| 1174752802 | Lane A Noble | Family Medicine | 2055 Kimball Ave Ste 100, Waterloo, IA 50702-5014 | 2009-07-01 |
| 1568698389 | Michelle Sarah Craig | Family Medicine | 2710 St. Francis Drive, Suite 210, Waterloo, IA 50702-5401 | 2009-06-08 |
| 1386879724 | Lydia Mustafic | Family Medicine | 2710 Saint Francis Dr Ste 210, Waterloo, IA 50702-5664 | 2009-05-28 |
| 1386651560 | David Robert Kobliska | Family Medicine | 2710 St.francis Dr, Waterloo, IA 50702-2081 | 2006-08-01 |
| Find all providers in WATERLOO | ||||
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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.