NPIMap

Organization Active NPI

Watertown Regional Medical Center, Inc

Doing business as UWHP WRMC Integrative Medicine Clinic

  • Family Medicine Physician
  • Watertown, WI
National Provider Identifier
1659796878
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER, INC
Doing business as
UWHP WRMC Integrative Medicine Clinic
Practice address
125 Hospital Dr
Watertown, WI 53098-3303
Phone
(920) 262-4371
Fax
(920) 262-4441
NPI assigned
Feb 25, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

125 Hospital Dr
Watertown, WI 53098-3303

Mailing address

PO Box 684088
Chicago, IL 60695-4088
Phone (920) 262-4784

Other names 1

  • UWHP WRMC Integrative Medicine Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Watertown Medmorial HSP

Locations

W1046 Marietta Ave
Ixonia, WI 53036
Phone (920) 206-6310

W1046 Marietta Ave
Ste 230
Ixonia, WI 53036
Phone (920) 206-6310

334 S Western Ave
Juneau, WI 53039
Phone (920) 261-9610

123 Hospital Dr
Ste 2001
Watertown, WI 53098
Phone (920) 262-4412

1684 S Church St
Watertown, WI 53094
Phone (608) 843-5074

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1659796878",
    "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",
            "fax_number": "920-262-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-262-4371",
            "fax_number": "920-262-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATERTOWN REGIONAL MEDICAL CENTER, INC",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-03-19",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UWHP WRMC Integrative Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.