WATERTOWN PHYSICIAN PRACTICES LLC NPI 1225412265

NPI Information

  • NPI: 1225412265
  • Provider Name: WATERTOWN PHYSICIAN PRACTICES LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 125 HOSPITAL DR
    WATERTOWN, WI
    ZIP 53098
  • Phone: (920) 261-4210

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NPI Details

WATERTOWN PHYSICIAN PRACTICES LLC is an obstetrics gynecology in Watertown, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WATERTOWN PHYSICIAN PRACTICES LLC NPI is 1225412265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098-303
Phone: (920) 261-4210

The provider's authorized official is Johnetta Traylor .
The authorized official title is Ao and has the following contact phone number (502) 596-6063.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 6/26/2025.

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
1133V00000XDietitian, RegisteredNo
2207P00000XEmergency MedicineNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207W00000XOphthalmologyNo
7207X00000XOrthopaedic SurgeryNo
8207Y00000XOtolaryngologyNo
92080N0001XPediatricsNeonatal-Perinatal MedicineNo
102084N0400XPsychiatry & NeurologyNeurologyNo
11208800000XUrologyNo
12225100000XPhysical TherapistNo
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15207V00000XObstetrics & GynecologyYes

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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