St. Marys Dean Ventures Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ST. MARYS DEAN VENTURES INC.

Practice address

1700 Tuttle St
Baraboo, WI 53913-3319

Phone

(888) 968-4681

Fax

(608) 355-7001

NPI assigned

May 31, 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 5

Addresses

Other identifiers 8

Part of

Evansville Clinic

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold F Anschuetz, MD

  • Family Medicine Physician
  • Fort Atkinson, WI
  • NPI 1427008648
  NPD
• Peggy L Barton, APNP

  • Nurse Practitioner
  • Mineral Point, WI
  • NPI 1689639965
  NPD
• Paul F Biere, MD

  • Family Medicine Physician
  • Dodgeville, WI
  • NPI 1518922855
  NPD
• Gregg A Bogost, MD

  • Diagnostic Radiology Physician
  • Madison, WI
  • NPI 1093795973
  NPD
• Kevin G Carr, MD

  • Family Medicine Physician
  • Platteville, WI
  • NPI 1467417964
  NPD
• Kathryn L Dalsing, MD

  • Family Medicine Physician
  • Dodgeville, WI
  • NPI 1154386878
  NPD
• Cheryl L Gehin, MD

  • Family Medicine Physician
  • Baraboo, WI
  • NPI 1831155480
  NPD
• Cheryl R Goeckermann, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Baraboo, WI
  • NPI 1083670665
  NPD
• David P Gorski, PA-C

  • Physician Assistant
  • Edgerton, WI
  • NPI 1386695633
  NPD
• Eric D Hamburg, MD

  • Internal Medicine Physician
  • Baraboo, WI
  • NPI 1922064518
  NPD
• Jerome A Huebner, MD

  • Family Medicine Physician
  • Platteville, WI
  • NPI 1225094840
  NPD
• Mark A Hughes, DO

  • Family Medicine Physician
  • Dodgeville, WI
  • NPI 1851358931
  NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1811944093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W MAIN ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901503",
            "telephone_number": "262-472-7686",
            "fax_number": "262-472-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TUTTLE ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539133319",
            "telephone_number": "888-968-4681",
            "fax_number": "608-355-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS DEAN VENTURES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARYS DEAN VENTURES INC.",
        "enumeration_date": "2006-05-31",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32829800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200403240A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32882300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0592394",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32780900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5E293GR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32824600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200232380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Clare Care and Rehab Center LLC
• St Clare Imaging Services, LLC
• St. Clare Hospital
• St. Croix Hospice, LLC (St. Croix Hospice)
• St. Marys Dean Ventures Inc. (Davis Duehr Dean Regional Eye Clinics)
• Jessica Stamman, RN
• Barbara J Stanek Quinn, APNP
• Jocelyn Staniszewski, PTA
• Heather Marie Statz, MSW
• Heather Stenberg, RN

• Clinic/Center in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Clinic/Center 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.