Active NPI
Colin J. Kratochwill, PA
- Surgical Physician Assistant
- Viroqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2362-023
- Practice address
- 407 S Main St
Suite 200
Viroqua, WI 54665-2100 - Phone
- (608) 637-3195
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2362-023 | WI | Primary |
Addresses
Primary practice location
407 S Main St
Suite 200
Viroqua, WI 54665-2100
Mailing address
407 S Main St
Suite 200
Viroqua, WI 54665-2100
Phone (608) 637-3195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Main St
Onalaska, WI 54650-2838
Phone (608) 783-4681
407 S Main St
Viroqua, WI 54665-2100
Phone (608) 637-3195
505 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-4111
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101
610 E Taylor St
PR Du Chien, WI 53821-2109
Phone (608) 326-6466
705 Arena Dr
Viroqua, WI 54665-2059
Phone (608) 637-4362
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2362-023 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon Memorial Healthcare, Inc. | Current | Accepting new patients | |
| Gundersen Clinic, LTD. | Current | Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Gundersen Clinic, LTD. | Past | Accepting new patients | |
| Gundersen Clinic LTD | Past | Accepting new patients |
Locations
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466
407 S Main St
Ste 200
Viroqua, WI 54665
Phone (608) 637-3195
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
Interoperability endpoints
- ckratochwill13342@direct.emplifyhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
- Critical Access Hospital
- Viroqua, WI
- NPI 1497750921
-
- Multi-Specialty Clinic/Center
- Viroqua, WI
- NPI 1376588376
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
- Clinic/Center
- Calmar, IA
- NPI 1306890959
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Hospital
-
- Critical Access Hospital
- Viroqua, WI
- NPI 1497750921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1659525798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S MAIN ST",
"address_2": "SUITE 200",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652100",
"telephone_number": "608-637-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S MAIN ST",
"address_2": "SUITE 200",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652100",
"telephone_number": "608-637-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATOCHWILL",
"first_name": "COLIN",
"middle_name": "J.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-14",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "2362-023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.