WESTERN WISCONSIN UROLOGY (NPI# 1710060199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710060199 |
| Entity Type | Organization |
| Organization Name | WESTERN WISCONSIN UROLOGY |
| Practice Address |
3217 Stein Blvd Eau Claire WI 54701-6995 |
| Practice Telephone | 7158356548 |
| Practice Fax Number | 7158357708 |
| Mailing Telephone | 7158356548 |
| Mailing Fax Number | 7158357708 |
| Enumeration Date | 2006-10-22 |
| Last Update Date | 2009-09-03 |
| Authorized Official Name | DAVID J KATZ (PRESIDENT) |
| Authorized Official Telephone | 7158356548 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | WI | Allopathic & Osteopathic Physicians | |
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32666800 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESTERN WISCONSIN UROLOGY SC | 3217 Stein Blvd, Eau Claire, WI 54701-6946 |
| Street Address |
3217 STEIN BLVD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154365625 | Devin Brooke Johnson | Urology | 3217 Stein Blvd, Eau Claire, WI 54701-6946 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346326428 | Michael S. Hirsh | Urology | 3203 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-10-31 |
| 1154365625 | Devin Brooke Johnson | Urology | 3217 Stein Blvd, Eau Claire, WI 54701-6946 | 2006-06-15 |
| 1376595074 | Josiah D Nelson | Urology | 3217 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-05-17 |
| 1265774384 | Melissa A Nissen | Urology | 1400 Bellinger St, Eau Claire, WI 54703 | 2013-03-27 |
| 1750582599 | Andrew E Jahoda | Urology | 1400 Bellinger St, Eau Claire, WI 54703 | 2007-05-30 |
| 1548482177 | Christopher Karl Tornehl | Urology | 3217 Stein Boulevard, Eau Claire, WI 54701-6995 | 2007-05-03 |
| 1538215157 | Sean Primley | Urology | 1400 Bellinger St, Eau Claire, WI 54703 | 2007-01-26 |
| 1053497131 | David J Katz | Urology | 3203 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-10-31 |
| 1972689057 | James S. Iwakiri | Urology | 3217 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-10-31 |
| 1407956113 | Robert M. Washecka | Urology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-09-23 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on WESTERN WISCONSIN UROLOGY.
| 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.