Taxonomy Code 302R00000X(302r00000x)
Health Maintenance Organization. Providers: 4
Health Maintenance Organization Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
DR. M.D. Keith Burr Sperling |
Individual |
1414 Mac Arthur Rd Madison, WI |
|
|
Group Health Cooperative Of South Central Wisconsin |
Organization |
8202 Excelsior Madison, WI |
|
|
MS. Candice Y Lewis |
Individual |
675 W.washington Ave. Group Health Cooperative Of South Madison, WI |
|
|
Care Wisconsin First, Inc. |
Organization |
2802 International Ln Madison, WI |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 302R00000X |
| Display Name | Health Maintenance Organization |
| Taxonomy Group | Managed Care Organizations |
| Taxonomy Classification | Health Maintenance Organization |
| Definition | (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Effective Date | September 30, 2009 |