OrganizationActive
Watertown Regional Medical Center Inc
NPI 1043499080 · Family Medicine Physician · Johnson Creek, WI
Provider details
- NPI number
- 1043499080
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Watertown Regional Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Robert Kluge, Patient Accounts Manager(920) 262-4784
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
540 Village Walk Ln
Johnson Creek, WI 53038-9554
Phone: (920) 699-6200
Street-level locationGet directions
Mailing address
Po Box 684088
Chicago, IL 60695-4088
Other names (DBA / former)
- Doing business as
- Uwhp Wrmc Johnson Creek Clinic
Registry dates
- Enumerated
- 2007-10-26
- Last updated
- 2014-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.