Watertown Regional Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WATERTOWN REGIONAL MEDICAL CENTER, INC

Doing business as

UWHP WRMC One Wellness

Practice address

W359N5002 Brown St
208
Oconomowoc, WI 53066-3366

Phone

(920) 262-4371

Fax

(920) 262-4441

NPI assigned

May 17, 2013

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 identifiers 1

Other names 1

• UWHP WRMC One Wellness Doing business as

Part of

Watertown Medmorial HSP

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1750727723",
    "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": "W359N5002 BROWN ST",
            "address_2": "208",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663366",
            "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": "2013-05-17",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100029859",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UWHP WRMC One Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Walos, PHD
• Kathleen Elizabeth Walsh
• Matthew W Waro, DC
• Allyson Waskosky, MSOT
• Watertown Regional Medical Center, Inc (UWHP WRMC Bellissa Oconomowoc)
• Watertown Regional Medical Center, Inc (UWHP WRMC Oconomowoc Clinic)
• Amanda Watkins, MASTERS, SAC-IT
• Waukesha Health Care, Inc. (ProHealth Care Medical Associates)
• Waukesha Medical Services, LLC
• Danielle Marie Waymire, M.D.

• Family Medicine Physician in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Family Medicine Physician in Wisconsin

• 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.