SPINE & BRAIN GROUP SC (NPI# 1073727277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073727277 |
| Entity Type | Organization |
| Organization Name | SPINE & BRAIN GROUP SC |
| Practice Address |
2800 Westhill Dr Suite 200 Wausau WI 54401-3771 |
| Practice Telephone | 7158431000 |
| Practice Fax Number | 7158431001 |
| Mailing Telephone | 7158431000 |
| Mailing Fax Number | 7158431001 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | DR. CHRISTOPHER I MACKAY (OWNER) |
| Authorized Official Telephone | 7158431000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2800 WESTHILL DR SUITE 200 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316917008 | Associates In Pathology, S.c. | Clinical Medical Laboratory | 2800 Westhill Dr, Suite 208, Wausau, WI 54401-3771 | 2006-01-25 |
| 1548545189 | Emmanuel Esianor | Physician Assistant | 2800 Westhill Dr, Ste 200, Wausau, WI 54401-3771 | 2011-10-14 |
| 1861547754 | Cherry Tree Dental, LLC | Dentist | 2800 Westhill Dr, S-104, Wausau, WI 54401-3771 | 2007-01-24 |
| 1093767808 | Bradley T Bodner | Physician Assistant | 2800 Westhill Dr, Suite 200, Wausau, WI 54401-3771 | 2006-05-17 |
| 1114976289 | Terence R. Lichtor | Neurological Surgery | 2800 Westhill Dr, Ste 200, Wausau, WI 54401-3771 | 2006-05-08 |
| 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 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881942845 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington Street, Wausau, WI 54403-5475 | 2012-08-24 |
| 1275863557 | Aspirus Wausau Hospital Inc | Clinic/Center | 2720 Plaza Dr Ste 1400a, Wausau, WI 54401-4166 | 2010-01-08 |
| 1437483989 | Aspirus Clinics Inc | Clinic/Center | 5450 W Stewart Ave, Wausau, WI 54401-3876 | 2009-09-30 |
| 1932287083 | Aspirus Clinics, Inc. | Clinic/Center | 3402 Howland Ave., Suite 100a, Wausau, WI 54401-4158 | 2006-11-02 |
| 1235421918 | Aspirus Clinics, Inc. | Clinic/Center | 425 Pine Ridge Blvd, Suite 209, Wausau, WI 54401-4123 | 2011-05-12 |
| 1568765550 | Aspirus Clinics, Inc. | Clinic/Center | 3200 Westhill Dr, #102, Wausau, WI 54401-4705 | 2010-12-13 |
| 1922321140 | Aspirus Wausau Hospital, Inc | Clinic/Center | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2010-03-02 |
| 1477883759 | Aspirus Wausau Hospital Inc | Clinic/Center | 425 Pine Ridge Blvd, Suite 305a, Wausau, WI 54401-4123 | 2010-01-08 |
| 1821328105 | Aspirus Wausau Hospital Inc | Clinic/Center | 425 Pine Ridge Blvd, Suite 305b, Wausau, WI 54401-4123 | 2010-01-08 |
| 1730419011 | Aspirus Wausau Hospital Inc | Clinic/Center | 2720 Plaza Dr, Suite 1300, Wausau, WI 54401-4158 | 2010-01-08 |
| Find all providers in WAUSAU | ||||
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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.