St. Marys Dean Ventures Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ST. MARYS DEAN VENTURES INC.

Practice address

144 W Garland St
Jefferson, WI 53549-2029

Phone

(920) 674-2217

Fax

(920) 674-6030

NPI assigned

Jun 21, 2006

Organization subpart

Yes

Parent organization

ST. MARYS DEAN VENTURES INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy J Grinnell

Title

Chief Financial Officer

Phone

(608) 260-3586

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• DAVIS DUEHR DEAN JEFFERSON Doing business as

Part of

Evansville Clinic

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Memorial Hospital of Boscobel

  • Rural Health Clinic/Center
  • Fennimore, WI
  • NPI 1437448891

  Member Of

  NPD member
• SSM Health Care of Wisconsin Inc

  • Certified Registered Nurse Anesthetist
  • Baraboo, WI
  • NPI 1336120401

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1083650642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W GARLAND ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492029",
            "telephone_number": "920-674-2217",
            "fax_number": "920-674-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W GARLAND ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492029",
            "telephone_number": "920-674-2217",
            "fax_number": "920-674-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS DEAN VENTURES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARYS DEAN VENTURES INC.",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GRINNELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "608-260-3586"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF WORKERS COMP",
            "identifier": "137082506",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "557381",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION INS PLAN OF AMERIC",
            "identifier": "054014",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "14680",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "20382",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38715900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIS DUEHR DEAN JEFFERSON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DAVIS DUEHR DEAN JEFFERSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Leigh Slatter
• Renee Spitzer, PHARMD
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• St. Coletta of Wisconsin
• St. Coletta of Wisconsin, Inc.
• Sarah Emily Stewart, APNP
• Kathryn Marie Stingl, LCPC, CRC
• Andrea Marian Stotesbery
• Kenneth William Strege, PEER SUPPORT
• Sarah Falk Sullivan, MA

• Eyewear Supplier in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.