DR. WENDY R MORTIMORE (NPI# 1841242674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841242674 |
Entity Type | Individual |
Full Name | DR. WENDY R MORTIMORE |
Credential | MD |
Practice Address |
3102 Meriter Way Madison WI 53719-5833 |
Mailing Address |
202 S Park St Madison WI 53715-1507 |
Practice Telephone | 6084178800 |
Mailing Telephone | 6084176000 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2012-06-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 47897 | WI | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 47897 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HUMANA | 039906262E | 01 | |
WI | 34637600 | 05 |
Street Address |
3102 MERITER WAY |
City | MADISON |
State | WI |
Zip Code | 53719-5833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003883786 | N Thomas Casper | Internal Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-03-02 |
1154877165 | Kimberly Curran | Nurse Practitioner | 3102 Meriter Way, Madison, WI 53719-5833 | 2016-08-30 |
1881012615 | Wendy Jin | Pediatrics | 3102 Meriter Way, Madison, WI 53719-5833 | 2014-03-29 |
1144412909 | Meghan Mcgowan | Obstetrics & Gynecology | 3102 Meriter Way, Madison, WI 53719-5833 | 2007-08-15 |
1568579936 | Arpad S Olajos | Internal Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-08-23 |
1518903897 | Dana M Johnson | Pediatrics | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-06-22 |
1487699674 | George A Idarraga | Pediatrics | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-06-19 |
1760422711 | Karen A. Reed | Family Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-06-07 |
1013986199 | Robert A Golden | Family Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
Find all providers in zip 53719 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
1063927465 | Healthcare Plus Limited Liability Company | Internal Medicine | 315 Summer Oak Trl, Madison, MS 39110-9147 | 2017-12-07 |
1326575168 | Jacob Ira Morgan | Internal Medicine | 104 Perry Williams Rd, Madison, MS 39110-8307 | 2017-05-11 |
1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
1104266600 | Samih Khauli | Internal Medicine | 822 E Washington Ave Apt 900, Madison, WI 53703-6511 | 2013-06-28 |
1336586502 | Susan Mary O'malley | Internal Medicine | 869 Boston Post Rd, Madison, CT 06443-3144 | 2013-05-29 |
1962753855 | Karl Winfield Hatten Sr. | Internal Medicine | 117 Greens View Dr, Madison, MS 39110-8050 | 2012-10-02 |
1497019863 | Kristen Crawford | Internal Medicine | 401 Baptist Dr Ste 104, Madison, MS 39110-2010 | 2012-06-29 |
1114281680 | Meghan Poole | Internal Medicine | 106 Highland Way Ste 103, Madison, MS 39110 | 2012-06-29 |
1215202056 | Arthur Decillis | Internal Medicine | 80 Devonshire Ln, Madison, CT 06443-1681 | 2012-03-13 |
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.