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EVERSIDE HEALTH LLC NPI 1619423092


NPI Information

NPI: 1619423092
Provider Name: EVERSIDE HEALTH, LLC

Doing Business As: PALADINA HEALTH STONERIDGE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
N14W23833 STONE RIDGE DR
SUITE 450
WAUKESHA, WI
ZIP 53188
Phone: (877) 360-4966
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EVERSIDE HEALTH, LLC is a family medicine in Waukesha, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EVERSIDE HEALTH, LLC NPI is 1619423092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Paladina Health Stoneridge.

The provider's business location address is:

N14W23833 STONE RIDGE DR
SUITE 450
WAUKESHA, WI
ZIP 53188-157
Phone: (877) 360-4966
Fax: (262) 347-0032

The provider's authorized official is Karla Spivey .
The authorized official title is Implementation Coordinator and has the following contact phone number (317) 869-3164.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 9/15/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 11/14/2023

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