Watertown Regional Medical Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WATERTOWN REGIONAL MEDICAL CENTER, INC

Practice address

524 Milwaukee St
Suite 180
Delafield, WI 53018-1462

Phone

(920) 262-4449

Fax

(920) 262-4533

NPI assigned

Jul 14, 2011

Organization subpart

Yes

Parent organization

WATERTOWN REGIONAL MEDICAL CENTER, INCAs reported in NPPES

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

Authorized official

Name

Robert James Kluge

Title

Director-Patient Accounting

Phone

(920) 262-4784

Specialties & licenses 1

Addresses

Other names 1

• UWHP WRMC Heart & Vascular Center Delafield Doing business as

Part of

Watertown Medmorial HSP

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1265720015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684088",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606954088",
            "telephone_number": "920-262-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 MILWAUKEE ST",
            "address_2": "SUITE 180",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181462",
            "telephone_number": "920-262-4449",
            "fax_number": "920-262-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATERTOWN REGIONAL MEDICAL CENTER, INC",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "KLUGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR-PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "920-262-4784"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UWHP WRMC Heart & Vascular Center Delafield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Allen Venske, D.C.
• Christopher Visaya
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Walgreen Co
• Roger D. Watson, M.D.
• Thomas L Wavernek, DDS
• Emily Waystedt, LPC
• Lisa Renee Weber, D.C.
• Carol Weickardt, RN

• Multi-Specialty Clinic/Center in Delafield, WI
• Providers in Delafield, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.