Watertown Regional Medical Center, Inc · Uw Health Partners Watertown Regional Medical Center Fast Care Clinic · Medical Physician Assistant

125 Hospital Dr, Watertown, WI 53098-3303

Overview

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).

Provider Information

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

Authorized Official Information

Official Name ROBERT J KLUGE
Official Title PATIENT FINANCIAL SERVICES MANAGER
Telephone 9202624784

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363AM0700XPhysician AssistantMedical193200000X MULTI-SPECIALTY GROUP
N363L00000XNurse Practitioner193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
UW Health Partners Watertown Regional Medical Center Fast Care ClinicDoing Business As Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Watertown Regional Medical Center, Inc · Uwhp Wrmc House Calls 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3331Family Medicine Physician2011-11-01
Watertown Regional Medical Center, Inc · Uwhp Wrmc Bellissa 123 Hospital Dr, Ste 2003, Watertown, WI 53098-3331Plastic Surgery Physician2011-09-27
Watertown Regional Medical Center, Inc · Uwhp Wrmc Perinatology 128 Hospital Dr, Watertown, WI 53098-3304Specialist2007-10-31
Watertown Regional Medical Center, Inc · Uwhp Wrmc Center for Eye Care 123 Hospital Dr, Suite 1002, Watertown, WI 53098-3320Optometrist2009-12-21
Watertown Regional Medical Center, Inc · Uwhp Wrmc Center for Eye Care - Johnson Creek 540 Village Walk Ln, Ste G, Johnson Creek, WI 53038-9554Optometrist2009-12-29
Watertown Regional Medical Center, Inc · Uwhp Wrmc Occupational Health 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3336Physician Assistant2011-08-04
Watertown Regional Medical Center, Inc · Uwhp Wrmc Ent Center 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320Otolaryngology Physician2012-08-14
Watertown Regional Medical Center, Inc · Uwhp Wrmc Orthopedics and Sports Medicine 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3320Orthopaedic Surgery Physician2010-05-11
Watertown Regional Medical Center, Inc · Uwhp Wrmc Oconomowoc Clinic W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366Family Medicine Physician2013-12-06
Watertown Regional Medical Center, Inc · Uwhp Wrmc One Wellness W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366Family Medicine Physician2013-05-17
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Taxonomy Information

Primary Taxonomy

Code 363AM0700X
Taxonomy Medical Physician Assistant
Classification Physician Assistant
Specialization Medical
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Jovanna Murillo 8919 California Ave, South Gate, CA 90280-3013Medical Physician Assistant2025-01-10
Samantha Anne Koski 871 Coronado Center Dr Ste 141, Henderson, NV 89052-3977Medical Physician Assistant2025-01-09
Abigale Louise Campos · Abigale Louise Whitsell 500 University Drive, Mc Ca410, Hershey, PA 17033-1455Medical Physician Assistant2025-01-08
Kaliyah Jahkel Bailey 2663 Easterly Pl, Decatur, GA 30035-4004Medical Physician Assistant2025-01-07
Jay Weston Scott 448 State Highway 248, Branson, MO 65616-3725Medical Physician Assistant2025-01-10
Rifa Momin 4760 Sweetwater Blvd Ste 101, Sugar Land, TX 77479-3173Medical Physician Assistant2025-01-06
Ethan Joseph Januszewski 118 Patricia Dr, Bellingham, MA 02019-1085Medical Physician Assistant2025-01-08
Angellena Arquette-Overman 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688Medical Physician Assistant2025-01-07
Cameryn Hawkins 405 Lancaster Ave, Greer, SC 29650-1235Medical Physician Assistant2025-01-09
Stephanie Musick 80 Sloan St, Pahrump, NV 89060-1928Medical Physician Assistant2025-01-10
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Location Information

Street Address 125 HOSPITAL DR
City WATERTOWN
State WI
Zip Code 53098-3303
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kristine Elizabeth Bennett 125 Hospital Dr, Watertown, WI 53098-3303Registered Dietitian2017-11-16
Mission Medical Associates, Inc. · Mission Emergency Medicine Specialists 125 Hospital Dr, Spruce Pine, NC 28777-3035Emergency Medicine Physician2017-01-20
Lauren Tickle 125 Hospital Dr, Spruce Pine, NC 28777-3035Nurse Practitioner2024-06-26
Kaitlyn Hobbs 125 Hospital Dr, Spruce Pine, NC 28777-3035Speech-Language Pathologist2020-08-03
Jennifer Wynne Furlong 125 Hospital Dr, Watertown, WI 53098-3303Nurse Practitioner2023-08-21
James Drake 125 Hospital Dr, Spruce Pine, NC 28777-3035Surgery Physician2017-04-18
Amber Kathlyn Miller 125 Hospital Dr, Watertown, WI 53098-3303Family Nurse Practitioner2022-08-04
Shandell Lee Herrick 125 Hospital Dr, Watertown, WI 53098-3303Registered Nurse2024-03-07
Sheridan Healthcare Services of Wisconsin, S.C. 125 Hospital Dr, Watertown, WI 53098-3303Anesthesiology Physician2017-10-19
Melissa Nehls · Melissa Hoskins 125 Hospital Dr, Watertown, WI 53098-3303Student in an Organized Health Care Education/Training Program2018-05-10
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kayla Nicole Danks 121 Hospital Dr, Watertown, WI 53098-3303Physical Therapy Assistant2017-07-24
Watertown Family Practice Associates S.C. 127 Hospital Dr, Watertown, WI 53098-3303Family Medicine Physician2006-11-30
Laboratory Corporation of America 127 Hospital Dr, Watertown, WI 53098-3303Clinical Medical Laboratory2023-03-02
Patricia M Clark 121 Hospital Dr, Watertown, WI 53098-3303Occupational Therapist2007-01-25
Bedrock Hcs At Watertown LLC 121 Hospital Dr, Watertown, WI 53098-3303Skilled Nursing Facility2019-09-20
Ann Elizabeth Malinsky 121 Hospital Dr, Watertown, WI 53098-3303Speech-Language Pathologist2007-05-04
Melodie Defouw 127 Hospital Dr, Watertown, WI 53098-3303Family Nurse Practitioner2018-11-27
Herbert Scott Royce 121 Hospital Dr, Watertown, WI 53098-3303Physical Therapy Assistant2015-01-12
Kimberly Mertins 121 Hospital Dr, Watertown, WI 53098-3303Speech-Language Pathologist2009-01-27
Christine Schlaug 121 Hospital Dr, Watertown, WI 53098-3303Speech-Language Pathologist2020-08-31
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jenny Louise Stout 809 Jamesway Dr, Watertown, WI 53098-1701Speech-Language Pathologist2008-04-27
Holly C Van Hecke 123 Hospital Drive, Suite 1002, Watertown, WI 53098Ophthalmology Physician2006-03-27
Nagel Neighborhood Health LLC 612 Mary Knoll Ln, Watertown, WI 53098-1216Family Medicine Physician2024-02-28
Kathy R. Adkins 1020 Hill Street, Watertown, WI 53098Physical Therapy Assistant2008-05-16
Mohamed H Yafai 123 Hospital Drive, Suite 2009, Watertown, WI 53098Internal Medicine Physician2006-03-02
Watertown Physician Practices LLC · Wrmc Center for Eye Wear 123 Hospital Dr Ste 2005, Watertown, WI 53098Durable Medical Equipment & Medical Supplies2018-05-14
Edward J Hoy 123 Hospital Dr, Ste 1002, Watertown, WI 53098Ophthalmology Physician2006-03-27
Fort Health Care Inc · Fort Healthcare Ear, Nose &Throat 123 Hospital Dr Suite 106a, Watertown, WI 53098Otolaryngology Physician2017-03-21
Deborah K Jacobson 513 Sweetbriar Ln, Watertown, WI 53098-1207Speech-Language Pathologist2008-09-03
Mary Lee Wegner 1101 Doris St, Watertown, WI 53098-1101Licensed Practical Nurse2011-05-09
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
St Luke's Jones Regional Medical Center · Unitypoint Health Jones Regional Medical Center Urgent Care 1795 Highway 64 E Ste 1, Anamosa, IA 52205-2112Family Medicine Physician2018-09-06
Watertown Regional Medical Center Inc · Uwhp Watertown Regional Medical Center Rehab & Sports Medicine 1684 S Church St, Watertown, WI 53094-6406Rehabilitation Clinic/Center2007-05-08
Watertown Medical Center LLC · Watertown Regional Medical Center 125 Hospital Drive, Watertown, WI 53098Psychiatric Hospital Unit2018-03-01
Watertown Regional Medical Center Inc · Uwhp Wrmc Center for Womens Health 128 Hospital Dr, Watertown, WI 53098-3304Obstetrics & Gynecology Physician2007-10-31
Watertown Regional Medical Center Inc · Uwhp Wrmc Ixonia Clinic W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498Family Medicine Physician2007-10-31
Watertown Regional Medical Center Inc · Directions Counseling Center 129 Hospital Dr, Watertown, WI 53098-3334Adult Mental Health Clinic/Center2005-10-11
St Luke's Jones Regional Medical Center · Unitypoint Health Jones Regional Medical Center Anamosa Clinic 1791 Highway 64 E, Anamosa, IA 52205-2112Family Medicine Physician2016-11-07
Colusa Regional Medical Center · Williams Urgent Care & Health Clinic 199 E Webster St, Colusa, CA 95932-2954Rural Health Clinic/Center2007-03-08
St Luke's Jones Regional Medical Center · Unitypoint Health Jones Regional Medical Center Monticello Clinic 740 E Oak St, Monticello, IA 52310-1745Family Medicine Physician2016-11-05
The Regional Medical Center of Orangeburg and Calhoun Counties 185 Mcgee St, Bamberg, SC 29003-1154Emergency Medicine Physician2013-05-10

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Dataset Information

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

Dataset Details

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.