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PALADINAWESTBEND
NPI 1356897714
Family Medicine in West Bend, WI

Active since August 26, 2016CLIA 52D2034977 · Waiver
705 VILLAGE GREEN WAY, SUITE 101, WEST BEND, WI 53090(262) 323-6849(978) 620-2353 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Sep 13, 2021, Oct 4, 2019 and 1 more (4 updates tracked since 2016).

About Paladinawestbend NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALADINAWESTBEND (NPI 1356897714) is a healthcare organization registered as a family medicine in West Bend, Wisconsin and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1356897714
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address705 VILLAGE GREEN WAY, SUITE 101West Bend, WI 53090-2527
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(262) 323-6849
Fax(978) 620-2353
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateAugust 26, 2016
Last NPPES UpdateAugust 11, 20224 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1356897714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
705 VILLAGE GREEN WAY, West Bend, WI 53090
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Other Names 1

Doing Business AsPaladinawestbend

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2034977

Everside Health, LLC - West Bend · West Bend, WI
Active · expires Jan 30, 2028
CLIA Number52D2034977
Laboratory TypeChronic Disease Mngt
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorDr. Marci Kessen
Laboratory Phone(704) 529-6162
Laboratory LocationEverside Health, LLC - West Bend705 Village Green Way #101, West Bend, WI 53095
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER SHORES CHIROPRACTIC SC
Chiropractor
705 VILLAGE GREEN WAY, SUITE 105
WEST BEND, WI 53090
Washington County (262) 334-4070
MICHELLE LEE SOLHEIM CSAC, CS-IT
Counselor (Addiction (Substance Use Disorder))
705 VILLAGE GREEN WAY
WEST BEND, WI 53090
Washington County (262) 402-8506
ANGELA GUERRA L.A.C.
Acupuncturist
705 VILLAGE GREEN WAY, SUITE 105
WEST BEND, WI 53090
Washington County (262) 685-7661
DR. KRYSTI K WICK D.C.
Chiropractor
705 VILLAGE GREEN WAY, SUITE 105
WEST BEND, WI 53090
Washington County (262) 334-4070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1356897714. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Paladinawestbend.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 705 Village Green Way Suite 101, West Bend, WI 53090. The listed phone number is (262) 323-6849.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2034977) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.