DEAN HEALTH SYSTEMS, INC (NPI# 1760593545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760593545 |
| Entity Type | Organization |
| Organization Name | DEAN HEALTH SYSTEMS, INC |
| Other Organization Name | SSM HEALTH DEAN MEDICAL GROUP - PORTAGE |
| Practice Address |
2825 Hunters Trl 2nd Floor Portage WI 53901 |
| Mailing Address |
2825 Hunters Trl 2nd Floor Portage WI 53901-3429 |
| Practice Telephone | 6087421063 |
| Practice Fax Number | 6087453750 |
| Mailing Telephone | 6087421063 |
| Mailing Fax Number | 6087453750 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | AMY J GRINNELL (VICE PRESIDENT - FINANCE) |
| Authorized Official Telephone | 6082603586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1053358846 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Dean Medical Group - Portage | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841583861 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 2501 W. Beltline Hwy, Suite 601, Madison, WI 53713-2309 | 2011-05-24 |
| 1710090790 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 318 High St, Mineral Point, WI 53565-1219 | 2006-08-16 |
| 1306113006 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 3200 E Racine St, Janesville, WI 53546-2343 | 2011-11-23 |
| 1730313800 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 1806 W Beltline Hwy, Madison, WI 53713-2334 | 2009-05-05 |
| 1821240979 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 700 S Park St, Suite A, Madison, WI 53715-1830 | 2008-10-21 |
| 1750474664 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 525 Handeyside Ln, Fort Atkinson, WI 53538-1281 | 2006-10-02 |
| 1467563254 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2006-08-31 |
| 1780695502 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 580 N Washington St, Janesville, WI 53548-2908 | 2006-08-10 |
| 1972514727 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 540 Bowers Blvd, Delavan, WI 53115-1958 | 2006-08-10 |
| 1578570974 | Dean Health Systems, Inc | Clinic/Center | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2006-08-01 |
| Street Address |
2825 HUNTERS TRL 2ND FLOOR |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548949 | Paul B Young | Pediatrics | 2825 Hunters Trl, Portage, WI 53901-3429 | 2005-09-12 |
| 1053803114 | Madeleine M Hacker | Optometrist | 2825 Hunters Trl, Portage, WI 53901-3429 | 2018-06-05 |
| 1942743281 | Rachael B Booth | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2016-11-18 |
| 1588113724 | Melissa A O'rourke | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2016-09-29 |
| 1770938771 | Laura E Ballweg | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2016-04-27 |
| 1659712479 | Dean W Seavecki | Physician Assistant | 2825 Hunters Trl, 1st Floor, Portage, WI 53901-3429 | 2013-07-09 |
| 1992894786 | Kari Joyce Alexander | Physician Assistant | 2825 Hunters Trl, Portage, WI 53901-3429 | 2006-10-12 |
| 1265455711 | Sarah M Haroldson | Family Medicine | 2825 Hunters Trl, Portage, WI 53901-3429 | 2006-07-25 |
| 1427085679 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 2825 Hunters Trl, Lower Level, Portage, WI 53901-3429 | 2006-06-26 |
| 1023054137 | Andrea J Langan | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750943114 | V&a Bootery Inc | Durable Medical Equipment & Medical Supplies | 6292 S Westnedge Ave, Portage, MI 49002-2810 | 2019-07-05 |
| 1013476670 | Bronson At Home | Durable Medical Equipment & Medical Supplies | 7890 Oakland Dr, Portage, MI 49024-4936 | 2019-03-13 |
| 1497962427 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1911 E Centre Ave, Portage, MI 49002-4415 | 2007-05-17 |
| 1699897835 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5933 S Westnedge Ave, Portage, MI 49002-1455 | 2007-04-06 |
| 1518009828 | Restorative Ideas & Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 5873 Us Highway 12, Suite B, Portage, IN 46368-1031 | 2007-02-13 |
| 1801942560 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 8850 Shaver Rd, Portage, MI 49024-6155 | 2007-01-26 |
| 1194888628 | Mastec Womens Boutique | Durable Medical Equipment & Medical Supplies | 524 E Milham Ave, Portage, MI 49002-1473 | 2006-12-18 |
| 1528157278 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 630 Main Street, Portage, PA 15946-1540 | 2006-10-12 |
| 1477662948 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 5003 South Westnedge Avenue, Portage, MI 49002-0401 | 2006-08-29 |
| 1821104902 | Hardings Galesburg Market Inc | Durable Medical Equipment & Medical Supplies | 3750 W Centre Ave, Portage, MI 49024-4630 | 2006-08-22 |
| Find all providers in PORTAGE | ||||
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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.