WATERTOWN REGIONAL MEDICAL CENTER, INC (NPI# 1972505154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972505154 |
| Entity Type | Organization |
| Organization Name | WATERTOWN REGIONAL MEDICAL CENTER, INC |
| Other Organization Name | UW HEALTH PARTNERS WATERTOWN REGIONAL MEDICAL CENTER HOME HEALTH |
| Practice Address |
125 Hospital Dr Watertown WI 53098-3303 |
| Practice Telephone | 9202614210 |
| Mailing Telephone | 9202624784 |
| Mailing Fax Number | 9202624640 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | MR. ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING) |
| Authorized Official Telephone | 9202624784 |
| Is Organization Subpart | Y |
| Parent Organization Name | WATERTOWN REGIONAL MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 165 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN CARE PROVIDER # | A9 | 01 |
| WI | 41514400 | 05 | |
| WI | PHY PLUS | 1020802 | 01 |
| Other Name | Type Code |
|---|---|
| UW HEALTH PARTNERS WATERTOWN REGIONAL MEDICAL CENTER HOME HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407035033 | Watertown Regional Medical Center, Inc | Clinic/Center | 700 Hoffman Dr, Watertown, WI 53094-6204 | 2007-10-31 |
| 1205223518 | Watertown Regional Medical Center, Inc | Physical Medicine & Rehabilitation | 621 W Racine St, Jefferson, WI 53549-1048 | 2015-04-24 |
| 1659796878 | Watertown Regional Medical Center, Inc | Family Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2014-02-25 |
| 1770914384 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366 | 2013-12-06 |
| 1750727723 | Watertown Regional Medical Center, Inc | Family Medicine | W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366 | 2013-05-17 |
| 1194072660 | Watertown Regional Medical Center, Inc | Otolaryngology | 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320 | 2012-08-14 |
| 1629346028 | Watertown Regional Medical Center, Inc | Plastic Surgery | W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 | 2011-12-13 |
| 1356627699 | Watertown Regional Medical Center, Inc | Family Medicine | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3331 | 2011-11-01 |
| 1043593916 | Watertown Regional Medical Center, Inc | Plastic Surgery | 123 Hospital Dr, Ste 2003, Watertown, WI 53098-3331 | 2011-09-27 |
| 1013296391 | Watertown Regional Medical Center, Inc | Physician Assistant | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3336 | 2011-08-04 |
| Street Address |
125 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669940664 | Ashleigh Douglas | Nurse Anesthetist, Certified Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-11-07 |
| 1336633080 | Sarah Sawall | Physical Therapist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-06-17 |
| 1720592454 | Kristine Elizabeth Bennett | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-11-16 |
| 1033620810 | Sheridan Healthcare Services of Wisconsin, S.c. | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-10-19 |
| 1285173666 | Kynsea S Zylka | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-02-17 |
| 1952844599 | Melissa Monroe | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-11-30 |
| 1902355373 | Asta Gurklys | Physician Assistant | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-27 |
| 1619425741 | Teresa Price | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-19 |
| 1558818492 | Wisconsin Physician Services Sc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-08 |
| 1376905141 | Timothy M Barnes | Physical Therapist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-03-22 |
| Find all providers in the same location | ||||
| 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 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 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 |
| 1093997355 | Kristin Elizabeth Hanington Erickson | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098 | 2007-11-28 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285178673 | Adaptive Homecare LLC | Home Health | 152 Robbins Rd, Watertown, MA 02472-4922 | 2016-12-05 |
| 1285889089 | Quality Visiting Nurses LLC | Home Health | 470 Straits Tpke, Watertown, CT 06795-3323 | 2008-11-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1255300299 | Caring Companions LLC | Home Health | 507 S 5th St, Watertown, WI 53094-4608 | 2006-03-14 |
| 1902880016 | Mount Auburn Hospital | Home Health | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2005-12-01 |
| 1043213283 | Jefferson County | Home Health | 531 Meade St, Watertown, NY 13601-1225 | 2005-05-23 |
| 1750384939 | Vna Health At Home, Inc | Home Health | 27 Siemon Company Dr, Ste 101, Watertown, CT 06795-2654 | 2005-05-23 |
| 1477006716 | Allume Home Care LLC | Home Health | 1044 Main St, 12, Watertown, CT 06795-2930 | 2016-08-03 |
| 1265880413 | Prospect Waterbury Home Health, Inc. | Home Health | 27 Siemon Company Dr, Suite 101, Watertown, CT 06795-2654 | 2016-05-27 |
| 1588036768 | Milestones Children's Center | Home Health | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2015-10-27 |
| Find all providers in WATERTOWN | ||||
Please comment or provide details below to improve the information on WATERTOWN REGIONAL MEDICAL CENTER, INC.
| 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.