Taxonomy Code 305R00000X(305r00000x)
Preferred Provider Organization. Providers: 1

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Preferred Provider Organization Providers

NPI Name Type Address

1891898219

State Medicaid

Organization

824 Lothe St

Sun Prairie, 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...

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Taxonomy Code 305R00000X
Display Name Preferred Provider Organization
Taxonomy Group Managed Care Organizations
Taxonomy Classification Preferred Provider Organization
Definition A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Effective Date September 30, 2009
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Other Taxonomy Codes

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207ZF0201X • providers: 484

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2279P3800X • providers: 3

Deactivated - Pharmacist

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Pediatric Ophthalmology and Strabismus Specialist Physician Physician

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Neurology Chiropractor

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