WAYNE A BREARLEY (NPI# 1043208952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043208952 |
Entity Type | Individual |
Full Name | WAYNE A BREARLEY |
Credential | MD |
Practice Address |
3200 Westhill Dr Suite 201 Wausau WI 54401-4705 |
Practice Telephone | 7158472382 |
Practice Fax Number | 7158472381 |
Mailing Telephone | 7158472382 |
Mailing Fax Number | 7158472381 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2013-05-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
45082 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34340200 | 05 |
Street Address |
3200 WESTHILL DR SUITE 201 |
City | WAUSAU |
State | WI |
Zip Code | 54401-4705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376544247 | Barbara Lee Rothweiler | Clinical Neuropsychologist | 3200 Westhill Dr, Ste 101, Wausau, WI 54401-4705 | 2005-08-02 |
1396283974 | Carol Gliszinski | Specialist/Technologist, Other | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2017-02-03 |
1255780474 | Jana Joanne Schultz | Physical Therapist | 3200 Westhill Dr, Suite 100, Wausau, WI 54401-4705 | 2016-06-08 |
1922453398 | Orthopaedic Centers of Wisconsin S.c. | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2016-05-04 |
1407249154 | Alissa Lowell | Specialist/Technologist | 3200 Westhill Dr, Wausau, WI 54401 | 2015-03-05 |
1780014407 | Aspirus Wausau Hospital, Inc | Radiology | 3200 Westhill Dr, Wausau, WI 54401-4705 | 2013-11-15 |
1831481704 | Scott Edward Bessert | Physical Therapist | 3200 Westhill Dr, Suite 100, Wausau, WI 54401-4705 | 2011-05-10 |
1568765550 | Aspirus Clinics, Inc. | Clinic/Center | 3200 Westhill Dr, #102, Wausau, WI 54401-4705 | 2010-12-13 |
1730407883 | Heidi Nowitzke | Speech-Language Pathologist | 3200 Westhill Dr, Wausau, WI 54401-4705 | 2010-05-13 |
1073762019 | Lisa E Lang | Physical Therapist | 3200 Westhill Dr, Suite 100, Wausau, WI 54401-4705 | 2008-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
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Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902850696 | Bone & Joint Clinic S.c. | Orthopaedic Surgery | 225000 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-19 |
1922453398 | Orthopaedic Centers of Wisconsin S.c. | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2016-05-04 |
1174977433 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 | 2016-04-22 |
1013173384 | Scott Remo Murch | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2008-08-05 |
1346230752 | Orthopaedic Associates of Wausau Sc | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2005-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013938463 | James L Knavel | Orthopaedic Surgery | 352 Peller Rd, Lake Geneva, WI 53147-4543 | 2006-07-21 |
1053310474 | David James Siverhus | Orthopaedic Surgery | 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 | 2005-07-18 |
1427476969 | Michael Derek Vaughn | Orthopaedic Surgery | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2014-04-02 |
1104262682 | Jasmine Bauknight | Orthopaedic Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2013-05-10 |
1154664100 | Dayton M Opel | Orthopaedic Surgery | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2013-03-28 |
1194088567 | Kristin Tompkins Mizerik | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2012-06-20 |
1881919892 | David William Meister | Orthopaedic Surgery | 525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024 | 2010-04-01 |
1346403482 | Leela D Farr | Orthopaedic Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2008-07-09 |
1912160748 | Cameron M Best | Orthopaedic Surgery | 9200 W Wisconsin Ave, Dept of Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2008-07-02 |
1104009240 | Aftab A Ansari, M.d., S.c. | Orthopaedic Surgery | 3535 30th Ave, Suite 101b, Kenosha, WI 53144-1632 | 2007-12-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.