Ellen O Wermuth (NPI# 1306812045, PAC ID# 1456343474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306812045 |
| PAC ID by PECOS | 1456343474 |
| Professional Enrollment ID | I20040331000839 |
| Full Name | Ellen O Wermuth |
| Organization Legal Name | SAUK PRAIRIE HEALTHCARE INC |
| Address |
436 Sunrise Dr Spring Green WI 53588-9286 |
| Phone Number | 6085882502 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8224948054 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520095 | SAUK PRAIRIE HOSPITAL |
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 436 Sunrise Dr, Spring Green, WI 53588-9286 | 6085882502 | SAUK PRAIRIE HEALTHCARE INC |
| Organization Legal Name | SAUK PRAIRIE HEALTHCARE INC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Agnes M Kanikula | Physician Assistant | Sauk Prairie Healthcare Inc | 825 Main St, Plain, WI 53577-9668 |
| Deanna Lord | Physician Assistant | Sauk Prairie Healthcare Inc | 160 Valley Dr, Lodi, WI 53555-1464 |
| Curtis N Johnson | Certified Registered Nurse Anesthetist (crna) | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| Christine J Van Dyke | Physician Assistant | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| Arnold N Rosenthal | Orthopedic Surgery | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| Jo Ellen E Frawley | Nurse Practitioner | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| Morgan C Hormig | Physician Assistant | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| David E Sisbach | Certified Registered Nurse Anesthetist (crna) | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| Michael D C Lamson | Orthopedic Surgery | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| Sarah B Hittner | Physician Assistant | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
| Street Address |
436 SUNRISE DR |
| City | SPRING GREEN |
| State | WI |
| Zip | 53588-9286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria A Denu | Physician Assistant | Sauk Prairie Healthcare Inc | 436 Sunrise Dr, Spring Green, WI 53588-9286 |
| Luke W Fortney | Family Medicine | Sauk Prairie Healthcare Inc | 436 Sunrise Dr, Spring Green, WI 53588-9286 |
| Mark G Timmerman | Family Medicine | Sauk Prairie Healthcare Inc | 436 Sunrise Dr, Spring Green, WI 53588-9286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony T Christianson | Chiropractic | 150 E Jefferson St, Spring Green, WI 53588-8000 | |
| Jeffrey L Vodak | Optometry | 150 E Jefferson St, Spring Green, WI 53588-8000 | |
| Rosette Morrey | Nurse Practitioner | Upland Hills Health Inc | 156 W Jefferson St, Spring Green, WI 53588-8005 |
| Jodi Peterson Mcgraw | Family Medicine | Upland Hills Health Inc | 156 W Jefferson St, Spring Green, WI 53588-8005 |
| Kennith A Miller | Family Practice | Upland Hills Health Inc | 156 W Jefferson St, Spring Green, WI 53588-8005 |
| Kathleen M Mcdonald | Chiropractic | 127 N Washington St, Spring Green, WI 53588-8016 | |
| Rebecca Weidner | Chiropractic | E5028 Us Hwy 14 and 23, Suite 103, Spring Green, WI 53588-9692 |
| City | SPRING GREEN |
| Zip Code | 53588 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPRING GREEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ellen O Wermuth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.