DEIRDRE DUFFY (NPI# 1962475426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962475426 |
| Entity Type | Individual |
| Full Name | DEIRDRE DUFFY |
| Credential | M.D. |
| Practice Address |
109 Air Park Dr Watertown WI 53094-7400 |
| Practice Telephone | 2629285100 |
| Mailing Telephone | 2629285100 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 48442 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34688900 | 05 |
| Street Address |
109 AIR PARK DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53094-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417247040 | Colleen Marie Worth | Registered Nurse | 109 Air Park Dr, Watertown, WI 53094-7400 | 2011-04-16 |
| 1245557107 | Quinn C Burton | Family Medicine | 109 Air Park Dr, Watertown, WI 53094-7400 | 2010-04-30 |
| 1629119417 | Prohealth Care Medical Associates Inc | Family Medicine | 109 Air Park Dr, Watertown, WI 53094-7400 | 2007-02-12 |
| 1902981673 | Catherine L Onsrud | Nurse Practitioner | 109 Air Park Dr, Prohealth Care Medical Centers Watertown, Watertown, WI 53094-7400 | 2006-10-25 |
| 1851350383 | Cherri A Schleicher | Nurse Practitioner | 109 Air Park Dr, Corporate Health Services Watertown, Watertown, WI 53094-7400 | 2006-03-22 |
| 1184698227 | Edward Fairfax Frost | Internal Medicine | 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094-7400 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1558566497 | Georgia E Meyer | Occupational Therapist | Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 | 2007-06-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1114085412 | Paul R Sommers Dds Sc | Dentist | 121 Oakridge Court, Watertown, WI 53094 | 2006-12-05 |
| 1063593614 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 622 S Church St, Watertown, WI 53094 | 2006-10-18 |
| 1598851800 | David J Groh | Dentist | 1521 Doctors Ct, Watertown, WI 53094 | 2006-10-05 |
| 1861594251 | Robert Delano Heinen | General Practice | 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 | 2006-09-05 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| Find all providers in zip 53094 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538114152 | Elliott S Cohen | Obstetrics & Gynecology | 622 Washington Street, Watertown, NY 13601 | 2006-05-23 |
| 1972580140 | Tahmina Aafreen | Obstetrics & Gynecology | 128 Hospital Dr, Watertown, WI 53098-3304 | 2005-12-28 |
| 1326455221 | Christopher Jonathan Cole | Obstetrics & Gynecology | 826 Washington Street, Samaritan Hospital-fort Drum Obgyn Department, Watertown, NY 13601 | 2014-07-13 |
| 1609291376 | Mt Auburn Professional Obgyn | Obstetrics & Gynecology | One Arsenal Marketplace, Watertown, MA 02472-2861 | 2014-03-04 |
| 1881957686 | Katrina Diann Stinson | Obstetrics & Gynecology | 1575 Washington St, Watertown, NY 13601-9371 | 2012-06-18 |
| 1366736480 | Heather Irobunda | Obstetrics & Gynecology | 826 Washington St, Watertown, NY 13601-4063 | 2011-06-06 |
| 1083842884 | Jessica Leigh Hardesty | Obstetrics & Gynecology | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2009-06-30 |
| 1093979429 | Jessica Dickes | Obstetrics & Gynecology | 901 4th St Nw, Watertown, SD 57201-1558 | 2008-07-15 |
| 1669636395 | James A Jones Ob/gyn | Obstetrics & Gynecology | 600 4th St Ne Ste 203, Watertown, SD 57201-1898 | 2008-07-11 |
| 1609037555 | Christopher M Novak | Obstetrics & Gynecology | 826 Washington St, Suite 202, Watertown, NY 13601-4063 | 2008-06-23 |
| Find all providers in WATERTOWN | ||||
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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.