GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN EAST CLINIC (NPI# 1801229547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801229547 |
Entity Type | Organization |
Organization Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN EAST CLINIC |
Practice Address |
5249 E Terrace Dr Madison WI 53718 |
Mailing Address |
1265 John Q Hammons Drive Madison WI 53717-4971 |
Practice Telephone | 6082229777 |
Mailing Telephone | 6082514156 |
Enumeration Date | 2013-08-16 |
Last Update Date | 2013-08-16 |
Authorized Official Name | SUSAN BENJAMIN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6082514156 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
5249 E TERRACE DR |
City | MADISON |
State | WI |
Zip Code | 53718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780679191 | Barbara J Strand | Pediatrics | 5249 E Terrace Dr, Madison, WI 53718 | 2005-09-13 |
1275165839 | Lauren Schmick | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2020-02-11 |
1871145367 | Jillian Marie Bodden Hoenisch | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2019-07-15 |
1730640178 | Victoria Jade Williams | Clinical Neuropsychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2019-03-28 |
1841778099 | Diana E Jahr | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2018-07-31 |
1659881043 | Christy Olson | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2017-10-11 |
1902316722 | Christina M Majcen | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2017-10-06 |
1972047710 | University of Wisconsin Hospitals and Clinics Authority | Durable Medical Equipment & Medical Supplies | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-12-13 |
1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
1538541149 | Megan Mirkes | Internal Medicine | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2015-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
Find all providers in zip 53718 |
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 |
---|---|---|---|---|
1376180414 | United Medical Providers, Inc | Durable Medical Equipment & Medical Supplies | 600 Medical Park Dr Ste 115, Madison, TN 37115-4253 | 2019-12-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1174088983 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 7129 Wall Triana Highway, Madison, AL 35757 | 2019-02-06 |
1255818431 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 350 Hughes Rd, Madison, AL 35758-1102 | 2018-07-20 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1891213476 | Mending Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3111 E Washington Ave Ste 103, Madison, WI 53704-4330 | 2017-09-05 |
1114443892 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 432 S Park St, Madison, WI 53715-1618 | 2017-08-15 |
1912421520 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1770 Eatonton Rd, Madison, GA 30650-4638 | 2017-07-26 |
1548634611 | Total Healthcare Solutions LLC | Durable Medical Equipment & Medical Supplies | 421 Business Park Dr, Madison, MS 39110-9498 | 2015-11-30 |
1215308879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7520 Highway 72 W, Madison, AL 35758-9554 | 2015-10-08 |
Find all providers in MADISON |
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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.