Watertown Regional Medical Center, Inc

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

WATERTOWN REGIONAL MEDICAL CENTER, INC

Doing business as

WRMC ER Physicians

Practice address

125 Hospital Dr
Watertown, WI 53098-3303

Phone

(920) 262-4210

NPI assigned

Jul 22, 2011

Last updated

Mar 19, 2014By the provider in NPPES

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

• WRMC ER Physicians Doing business as

Part of

Watertown Medmorial HSP

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1942588132",
    "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": "920-262-4210"
        },
        {
            "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": "920-262-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATERTOWN REGIONAL MEDICAL CENTER, INC",
        "enumeration_date": "2011-07-22",
        "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": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016723",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRMC ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Watertown Regional Medical Center, Inc (UWHP WRMC Dietitians)
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• Watertown Regional Medical Center, Inc (Uw Health Partners Watertown Regional Medical Center Home Health)
• Watertown Unified School District
• Watertown Urology, S.C.
• Watertown Vision, LLC
• Jessica Ann Waterworth, DC

• Emergency Medical Services (Emergency Medicine) Physician in Watertown, WI
• Providers in Watertown, WI by specialty
• Emergency Medical Services (Emergency 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.