PRAIRIE MEDICINE LTD NPI 1063499739

NPI Information

  • NPI: 1063499739
  • Provider Name: PRAIRIE MEDICINE LTD
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 421 S BEAUMONT RD
    PRAIRIE DU CHIEN, WI
    ZIP 53821
  • Phone: (608) 326-6402

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NPI Details

PRAIRIE MEDICINE LTD is a surgery in Prairie Du Chien, WI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PRAIRIE MEDICINE LTD NPI is 1063499739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 S BEAUMONT RD
PRAIRIE DU CHIEN, WI
ZIP 53821-905
Phone: (608) 326-6402
Fax: (608) 326-6404

The provider's authorized official is Brenda J Jones .
The authorized official title is Office Manager and has the following contact phone number (608) 326-6402.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 10/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
180019MEDICARE UPINWISCONSIN
2I5227MEDICARE PINIOWA
30944967MEDICAIDIOWA
430071400MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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