SSM HEALTH CARE OF WISCONSIN INC (NPI# 1467435214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467435214 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH CARE OF WISCONSIN INC |
| Practice Address |
707 14th St Baraboo WI 53913-1539 |
| Practice Telephone | 6083561400 |
| Mailing Telephone | 6083561400 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | TROY WALKER (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6083561400 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH ST CLARE HOSPITAL-BARABOO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BLUE CROSS PROV # | 391023846028 | 01 |
| WI | 11022800 | 05 | |
| WI | PHYS PLUS PROV # | 1009390 | 01 |
| WI | COMMERICAL INS PROV # | 391023846 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641207 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2005-07-07 |
| 1457802316 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 530 Wi Dells Pkwy S, Wisconsin Dells, WI 53965-9732 | 2016-10-17 |
| 1730637240 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 1310 Broadway, Wisconsin Dells, WI 53965-1358 | 2016-09-13 |
| 1528516036 | Ssm Health Care of Wisconsin Inc | Clinic/Center | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2016-09-13 |
| 1285020552 | Ssm Health Care of Wisconsin Inc | Clinical Medical Laboratory | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-04-13 |
| 1902290034 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 700 S Park St, Madison, WI 53715-1830 | 2015-03-26 |
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1548654676 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-03-26 |
| 1275947137 | Ssm Health Care of Wisconsin Inc | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-06-18 |
| 1710391776 | Ssm Health Care of Wisconsin Inc | Family Medicine | 700 S Park St, Madison, WI 53715-1830 | 2014-06-18 |
| Street Address |
707 14TH ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641207 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2005-07-07 |
| 1265051205 | Deanna May Nault | Nurse Practitioner | 707 14th St, Baraboo, WI 53913-1597 | 2020-04-09 |
| 1588227367 | Karlie Wipperfurth | Occupational Therapist | 707 14th St, Baraboo, WI 53913-1539 | 2019-04-17 |
| 1164998225 | Cheyenne Pooler | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1597 | 2018-10-16 |
| 1548754526 | Paul Jest | Pharmacist | 707 14th St, Baraboo, WI 53913-1539 | 2018-06-21 |
| 1871978510 | Alison Allstadt | Audiologist | 707 14th St, Baraboo, WI 53913-1539 | 2015-07-23 |
| 1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
| 1760880322 | Kaylee Frazier | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2014-12-15 |
| 1477973873 | Elizabeth Kerrigan | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1539 | 2014-04-24 |
| 1356789077 | Mary Firari | Physician Assistant | 707 14th St, Baraboo, WI 53913-1539 | 2013-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399310 | Jennifer Daisy Lehr | Dietitian, Registered | 707 14th St., Baraboo, WI 53913-1539 | 2017-07-25 |
| 1952517146 | Denise Leslie Dodson | Dietitian, Registered | House of Wellness, S 2845 White Eagle Rd, Baraboo, WI 53913 | 2007-05-15 |
| 1265977425 | Kyla Ripp | Dietitian, Registered | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-12-27 |
| 1760880322 | Kaylee Frazier | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2014-12-15 |
| 1417203134 | Julie Elizabeth Larsen | Dietitian, Registered | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2012-07-31 |
| 1013274786 | John T Stuntebeck | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2012-04-18 |
| 1346523552 | Rene A Walters | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2011-09-23 |
| 1104145093 | Jeannine Liloett Lise | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2010-05-18 |
| 1760670319 | Patricia A E Wilson | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2007-10-09 |
| 1912091950 | Lisa L Krayer | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2006-10-03 |
| Find all providers in BARABOO | ||||
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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.