CENTRAL OTOLOGIC LTD (NPI# 1932177862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932177862 |
| Entity Type | Organization |
| Organization Name | CENTRAL OTOLOGIC LTD |
| Practice Address |
123 Hospital Drive Ste 106 Watertown WI 53098 |
| Mailing Address |
888 Thackeray Trail Ste 108 Oconomowoc WI 53066 |
| Practice Telephone | 9202610226 |
| Mailing Telephone | 2625670505 |
| Mailing Fax Number | 2625670778 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL CHARLES JANOWAK (PRESIDENT) |
| Authorized Official Telephone | 2625670505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WPS | 39131700ST | 01 |
| WI | DEAN HEALTH | 502461 | 01 |
| WI | 32684000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659330736 | Central Otologic Ltd | Otolaryngology | 2750 Golf Road, Delafield, WI 53018 | 2006-03-20 |
| 1851369771 | Central Otologic Ltd | Otolaryngology | 201 N Mayfair Road, Ste 545, Milwaukee, WI 53266 | 2006-03-08 |
| 1295700565 | Central Otologic Ltd | Otolaryngology | 888 Thackeray Trail, Suite # 108, Oconomowoc, WI 53066 | 2006-02-21 |
| Street Address |
123 HOSPITAL DRIVE STE 106 |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1992023493 | Sheila Kerri Sullivan | Ophthalmology | 123 Hospital Drive, Suite 1002, Watertown, WI 53098-3320 | 2010-05-07 |
| 1073652525 | Philip M Marden Md Sc | Allergy & Immunology | 123 Hospital Drive, Suite 212, Watertown, WI 53098-3336 | 2007-02-05 |
| 1801981279 | Watertown Urology, S.c. | Urology | 123 Hospital Drive, Suite 2002, Watertown, WI 53098 | 2006-10-03 |
| 1548285273 | Peggy Burr | Physician Assistant | 123 Hospital Drive, Suite 2004, Watertown, WI 53098 | 2006-07-13 |
| 1942260518 | Eye Physicians of Watertown Sc | Optometrist | 123 Hospital Drive, Suite 1002, Watertown, WI 53098 | 2006-03-27 |
| 1639139074 | Holly C Van Hecke | Ophthalmology | 123 Hospital Drive, Suite 1002, Watertown, WI 53098 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| 1942699632 | Morgan Lange Hennes | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098 | 2015-01-18 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1194072660 | Watertown Regional Medical Center, Inc | Otolaryngology | 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320 | 2012-08-14 |
| 1407948011 | Watertown Ear Nose and Throat Grp | Otolaryngology | 826 Washington St, Suite 204, Watertown, NY 13601-4064 | 2006-09-29 |
| 1811006786 | Albert A. Mcclain Jr. | Otolaryngology | 830 Washington St, Watertown, NY 13601-4034 | 2006-08-30 |
| 1972525962 | Sanford Clinic | Otolaryngology | 600 4th St Ne, Suite 101, Watertown, SD 57201-1898 | 2006-07-25 |
| 1033147772 | Norman Weir | Otolaryngology | 826 Washington St, Watertown, NY 13601-4063 | 2006-06-29 |
| 1790736890 | Tony C.y. Chuang | Otolaryngology | 826 Washington St, Suite 204, Watertown, NY 13601-4063 | 2006-05-13 |
| 1033105309 | Braxton L Hillerman | Otolaryngology | 826 Washington St, Suite 204, Watertown, NY 13601-4063 | 2005-09-22 |
| 1144216359 | William I Forbes IIi | Otolaryngology | 826 Washington St, Suite 204, Watertown, NY 13601-4063 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104156 | Alliance Ent and Hearing Center, Sc | Otolaryngology | 2524 E Webster Place, Suite 201, Milwaukee, WI 53211-4257 | 2020-11-04 |
| 1962969915 | Alliance Ent & Hearing Center, S.c. | Otolaryngology | 2500 W Layton Ave Ste 230, Milwaukee, WI 53221-5421 | 2019-02-26 |
| 1184010977 | Chad Michael Ennis | Otolaryngology | 1 S Park St Fl 6, Madison, WI 53715-1375 | 2015-04-08 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1760803795 | Gary Miller | Otolaryngology | 3467 Northwood Rd, Suamico, WI 54313-8250 | 2013-12-17 |
| 1629320007 | Peter Uy Lee | Otolaryngology | 1341 Boundary Rd, Middleton, WI 53562-3843 | 2012-10-09 |
| 1700145091 | Kenneth Brian Lewoczko | Otolaryngology | 600 Highland Ave., H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2012-05-08 |
| 1962768267 | Christopher Joseph Lee | Otolaryngology | 500 W. Drexel Ave, Suite 300, Oak Creek, WI 53154-2060 | 2012-04-11 |
| 1871814715 | Norval Eldred Bernhardt | Otolaryngology | 9 Holt Ct, Madison, WI 53719-3036 | 2010-06-15 |
| 1114248028 | Colleen Plein | Otolaryngology | 6127 Green Bay Rd Ste 100, Kenosha, WI 53142-2941 | 2010-06-15 |
| Find all providers with the same taxonomy | ||||
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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.