Organization · Type 2 NPI

Prairie Ridge Health, Inc.

Orthopaedic Surgery Physician · Beaver Dam, WI

NPI number 1093137416 Active

Practice location

134 Corporate Dr
Beaver Dam, WI 53916-3116

Call (920) 356-1000 Map

Mailing address

1515 Park Ave
Columbus, WI 53925-2402

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	None listed
Surgery Physician	208600000X	None listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

7 other providers at this address

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NPI record

NPI: 1093137416
Entity type: Organization (Type 2)
Issued: Jan 21, 2014
Last updated: Apr 6, 2026
Status: Active
Subpart: Yes of Prairie Ridge Health, Inc.

Other names

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Columbus Community Hospital, Inc. · former legal business name

Authorized official

Mr. John Russell
President & CEO
(920) 623-1368

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093137416

Prairie Ridge Health, Inc.'s National Provider Identifier is 1093137416, issued on Jan 21, 2014. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Beaver Dam, WI. The record was last updated on Apr 6, 2026.