DR. WENDY R MORTIMORE


Address: 3102 Meriter Way, Madison, WI 53719-5833
Phone: 6084178800

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
HUMANA 039906262E 01
WI 34637600 05

Office Location

Street Address 3102 MERITER WAY
City MADISON
State WI
Zip Code 53719-5833

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MADISON
Zip Code 53719

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Dataset Information

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.

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