Watertown Regional Medical Center, Inc is a Medical Physician Assistant (organization) practicing in Watertown, Wisconsin. The National Provider Identifier (NPI) is #1245489897, which was assigned on September 18, 2008, and the registration record was last updated on September 11, 2010. The practitioner's main practice location is at 701 S Church St, Watertown, WI 53094-6213; the contact telephone number is 9202624784, and the fax number is 9202624640. The primary taxonomy of Watertown Regional Medical Center, Inc is Medical Physician Assistant (363AM0700X), with specialization in Medical. The authorized official for Watertown Regional Medical Center, Inc is Robert J Kluge (Patient Financial Services Manager).
NPI | 1245489897 |
Entity Type | Organization |
Organization Name | WATERTOWN REGIONAL MEDICAL CENTER, INC |
Provider Name | WATERTOWN REGIONAL MEDICAL CENTER, INC |
Other Organization Name |
UW HEALTH PARTNERS WATERTOWN REGIONAL MEDICAL CENTER FAST CARE CLINIC (Doing Business As Name) |
Other Name | UW HEALTH PARTNERS WATERTOWN REGIONAL MEDICAL CENTER FAST CARE CLINIC |
Practice Address |
701 S Church St Watertown WI 53094-6213 |
Practice Telephone | 9202624784 |
Practice Fax Number | 9202624640 |
Mailing Address |
125 Hospital Dr Watertown WI 53098-3303 |
Mailing Telephone | 9202624784 |
Mailing Fax Number | 9202624640 |
Enumeration Date | 2008-09-18 |
Last Update Date | 2010-09-11 |
Is Organization Subpart | Y |
Parent Organization Legal Business Name | WATERTOWN REGIONAL MEDICAL CENTER, INC |
Official Name | ROBERT J KLUGE |
Official Title | PATIENT FINANCIAL SERVICES MANAGER |
Telephone | 9202624784 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 363AM0700X | Physician Assistant | Medical | 193200000X MULTI-SPECIALTY GROUP | ||
N | 363L00000X | Nurse Practitioner | 193200000X MULTI-SPECIALTY GROUP |
Other Organization Name | Type |
---|---|
UW Health Partners Watertown Regional Medical Center Fast Care Clinic | Doing Business As Name |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Watertown Regional Medical Center, Inc · Uwhp Wrmc House Calls | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3331 | Family Medicine Physician | 2011-11-01 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Bellissa | 123 Hospital Dr, Ste 2003, Watertown, WI 53098-3331 | Plastic Surgery Physician | 2011-09-27 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Perinatology | 128 Hospital Dr, Watertown, WI 53098-3304 | Specialist | 2007-10-31 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Center for Eye Care | 123 Hospital Dr, Suite 1002, Watertown, WI 53098-3320 | Optometrist | 2009-12-21 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Center for Eye Care - Johnson Creek | 540 Village Walk Ln, Ste G, Johnson Creek, WI 53038-9554 | Optometrist | 2009-12-29 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Occupational Health | 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3336 | Physician Assistant | 2011-08-04 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Ent Center | 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320 | Otolaryngology Physician | 2012-08-14 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Orthopedics and Sports Medicine | 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3320 | Orthopaedic Surgery Physician | 2010-05-11 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc Oconomowoc Clinic | W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366 | Family Medicine Physician | 2013-12-06 |
Watertown Regional Medical Center, Inc · Uwhp Wrmc One Wellness | W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366 | Family Medicine Physician | 2013-05-17 |
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Code | 363AM0700X |
Taxonomy | Medical Physician Assistant |
Classification | Physician Assistant |
Specialization | Medical |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: Definition to come... |
Code | 363L00000X |
Taxonomy | Nurse Practitioner |
Classification | Nurse Practitioner |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Jovanna Murillo | 8919 California Ave, South Gate, CA 90280-3013 | Medical Physician Assistant | 2025-01-10 |
Samantha Anne Koski | 871 Coronado Center Dr Ste 141, Henderson, NV 89052-3977 | Medical Physician Assistant | 2025-01-09 |
Abigale Louise Campos · Abigale Louise Whitsell | 500 University Drive, Mc Ca410, Hershey, PA 17033-1455 | Medical Physician Assistant | 2025-01-08 |
Kaliyah Jahkel Bailey | 2663 Easterly Pl, Decatur, GA 30035-4004 | Medical Physician Assistant | 2025-01-07 |
Jay Weston Scott | 448 State Highway 248, Branson, MO 65616-3725 | Medical Physician Assistant | 2025-01-10 |
Rifa Momin | 4760 Sweetwater Blvd Ste 101, Sugar Land, TX 77479-3173 | Medical Physician Assistant | 2025-01-06 |
Ethan Joseph Januszewski | 118 Patricia Dr, Bellingham, MA 02019-1085 | Medical Physician Assistant | 2025-01-08 |
Angellena Arquette-Overman | 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 | Medical Physician Assistant | 2025-01-07 |
Cameryn Hawkins | 405 Lancaster Ave, Greer, SC 29650-1235 | Medical Physician Assistant | 2025-01-09 |
Stephanie Musick | 80 Sloan St, Pahrump, NV 89060-1928 | Medical Physician Assistant | 2025-01-10 |
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Street Address |
125 HOSPITAL DR |
City | WATERTOWN |
State | WI |
Zip Code | 53098-3303 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Kristine Elizabeth Bennett | 125 Hospital Dr, Watertown, WI 53098-3303 | Registered Dietitian | 2017-11-16 |
Mission Medical Associates, Inc. · Mission Emergency Medicine Specialists | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | Emergency Medicine Physician | 2017-01-20 |
Lauren Tickle | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | Nurse Practitioner | 2024-06-26 |
Kaitlyn Hobbs | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | Speech-Language Pathologist | 2020-08-03 |
Jennifer Wynne Furlong | 125 Hospital Dr, Watertown, WI 53098-3303 | Nurse Practitioner | 2023-08-21 |
James Drake | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | Surgery Physician | 2017-04-18 |
Amber Kathlyn Miller | 125 Hospital Dr, Watertown, WI 53098-3303 | Family Nurse Practitioner | 2022-08-04 |
Shandell Lee Herrick | 125 Hospital Dr, Watertown, WI 53098-3303 | Registered Nurse | 2024-03-07 |
Sheridan Healthcare Services of Wisconsin, S.C. | 125 Hospital Dr, Watertown, WI 53098-3303 | Anesthesiology Physician | 2017-10-19 |
Melissa Nehls · Melissa Hoskins | 125 Hospital Dr, Watertown, WI 53098-3303 | Student in an Organized Health Care Education/Training Program | 2018-05-10 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Kayla Nicole Danks | 121 Hospital Dr, Watertown, WI 53098-3303 | Physical Therapy Assistant | 2017-07-24 |
Watertown Family Practice Associates S.C. | 127 Hospital Dr, Watertown, WI 53098-3303 | Family Medicine Physician | 2006-11-30 |
Laboratory Corporation of America | 127 Hospital Dr, Watertown, WI 53098-3303 | Clinical Medical Laboratory | 2023-03-02 |
Patricia M Clark | 121 Hospital Dr, Watertown, WI 53098-3303 | Occupational Therapist | 2007-01-25 |
Bedrock Hcs At Watertown LLC | 121 Hospital Dr, Watertown, WI 53098-3303 | Skilled Nursing Facility | 2019-09-20 |
Ann Elizabeth Malinsky | 121 Hospital Dr, Watertown, WI 53098-3303 | Speech-Language Pathologist | 2007-05-04 |
Melodie Defouw | 127 Hospital Dr, Watertown, WI 53098-3303 | Family Nurse Practitioner | 2018-11-27 |
Herbert Scott Royce | 121 Hospital Dr, Watertown, WI 53098-3303 | Physical Therapy Assistant | 2015-01-12 |
Kimberly Mertins | 121 Hospital Dr, Watertown, WI 53098-3303 | Speech-Language Pathologist | 2009-01-27 |
Christine Schlaug | 121 Hospital Dr, Watertown, WI 53098-3303 | Speech-Language Pathologist | 2020-08-31 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Jenny Louise Stout | 809 Jamesway Dr, Watertown, WI 53098-1701 | Speech-Language Pathologist | 2008-04-27 |
Holly C Van Hecke | 123 Hospital Drive, Suite 1002, Watertown, WI 53098 | Ophthalmology Physician | 2006-03-27 |
Nagel Neighborhood Health LLC | 612 Mary Knoll Ln, Watertown, WI 53098-1216 | Family Medicine Physician | 2024-02-28 |
Kathy R. Adkins | 1020 Hill Street, Watertown, WI 53098 | Physical Therapy Assistant | 2008-05-16 |
Mohamed H Yafai | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | Internal Medicine Physician | 2006-03-02 |
Watertown Physician Practices LLC · Wrmc Center for Eye Wear | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | Durable Medical Equipment & Medical Supplies | 2018-05-14 |
Edward J Hoy | 123 Hospital Dr, Ste 1002, Watertown, WI 53098 | Ophthalmology Physician | 2006-03-27 |
Fort Health Care Inc · Fort Healthcare Ear, Nose &Throat | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | Otolaryngology Physician | 2017-03-21 |
Deborah K Jacobson | 513 Sweetbriar Ln, Watertown, WI 53098-1207 | Speech-Language Pathologist | 2008-09-03 |
Mary Lee Wegner | 1101 Doris St, Watertown, WI 53098-1101 | Licensed Practical Nurse | 2011-05-09 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
St Luke's Jones Regional Medical Center · Unitypoint Health Jones Regional Medical Center Urgent Care | 1795 Highway 64 E Ste 1, Anamosa, IA 52205-2112 | Family Medicine Physician | 2018-09-06 |
Watertown Regional Medical Center Inc · Uwhp Watertown Regional Medical Center Rehab & Sports Medicine | 1684 S Church St, Watertown, WI 53094-6406 | Rehabilitation Clinic/Center | 2007-05-08 |
Watertown Medical Center LLC · Watertown Regional Medical Center | 125 Hospital Drive, Watertown, WI 53098 | Psychiatric Hospital Unit | 2018-03-01 |
Watertown Regional Medical Center Inc · Uwhp Wrmc Center for Womens Health | 128 Hospital Dr, Watertown, WI 53098-3304 | Obstetrics & Gynecology Physician | 2007-10-31 |
Watertown Regional Medical Center Inc · Uwhp Wrmc Ixonia Clinic | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | Family Medicine Physician | 2007-10-31 |
Watertown Regional Medical Center Inc · Directions Counseling Center | 129 Hospital Dr, Watertown, WI 53098-3334 | Adult Mental Health Clinic/Center | 2005-10-11 |
St Luke's Jones Regional Medical Center · Unitypoint Health Jones Regional Medical Center Anamosa Clinic | 1791 Highway 64 E, Anamosa, IA 52205-2112 | Family Medicine Physician | 2016-11-07 |
Colusa Regional Medical Center · Williams Urgent Care & Health Clinic | 199 E Webster St, Colusa, CA 95932-2954 | Rural Health Clinic/Center | 2007-03-08 |
St Luke's Jones Regional Medical Center · Unitypoint Health Jones Regional Medical Center Monticello Clinic | 740 E Oak St, Monticello, IA 52310-1745 | Family Medicine Physician | 2016-11-05 |
The Regional Medical Center of Orangeburg and Calhoun Counties | 185 Mcgee St, Bamberg, SC 29003-1154 | Emergency Medicine Physician | 2013-05-10 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |