WATERTOWN FAMILY PRACTICE ASSOCIATES S.C.
NPI 1811064942
Family Medicine in Watertown, WI

Q: What is Watertown Family Practice Associates S.C.'s specialty?

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

Active since November 30, 2006CLIA 52D0388938 · Microscopy

127 HOSPITAL DR, WATERTOWN, WI 53098(920) 261-8500 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Watertown Family Practice Associates S.c. NPPES

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

WATERTOWN FAMILY PRACTICE ASSOCIATES S.C. (NPI 1811064942) is a healthcare organization registered as a family medicine in Watertown, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through January 20, 2028 and lists Michael E Sullivan, Clinic President, as its authorized official.

NPPES Registry Identity

NPI1811064942

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWATERTOWN FAMILY PRACTICE ASSOCIATES S.C.

Location Address127 HOSPITAL DRWatertown, WI 53098-3303

Mailing Address127 Hospital DrWatertown, WI 53098-3303

Phone(920) 261-8500

Organization SubpartNo

Authorized OfficialMichael E SullivanClinic President · (920) 261-8500

Enumeration DateNovember 30, 2006

Last NPPES UpdateApril 7, 2022

NPPES CertifiedApril 7, 2022

✔ NPI 1811064942 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.

127 HOSPITAL DR, Watertown, WI 53098

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Other Identifiers 1

Medicaid32687900WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), MercyCare Health Plans and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 52D0388938

Watertown Family Practice Associates Sc · Watertown, WI

Active · expires Jan 20, 2028

CLIA Number52D0388938

Laboratory TypePhysician Office

Certificate Effective DateJanuary 21, 2026

Certificate Expiration DateJanuary 20, 2028

Laboratory DirectorDr. John Basarich

Laboratory Phone(920) 261-8500

Laboratory LocationWatertown Family Practice Associates Sc127 Hospital Dr, Watertown, WI 53098

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 14

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

DR. ROBERT STEVEN LEGROW M.D.

Family Medicine