DR. JESSICA ANN WEDDLE (NPI# 1275725913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275725913 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ANN WEDDLE |
| Other Name | DR. JESSICA ANN WEDDLE |
| Credential | D.O. |
| Practice Address |
512 S 28th Ave Wausau WI 54401-4147 |
| Practice Telephone | 7158472020 |
| Practice Fax Number | 7158472325 |
| Mailing Telephone | 7158472020 |
| Mailing Fax Number | 7158472325 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
5101016320 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336205236 | Jessica S Weddle | Psychiatry & Neurology | 912 S Wood St, Chicago, IL 60612-4300 | 2006-12-28 |
| Street Address |
512 S 28TH AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124079033 | David A Edmondson | Allergy & Immunology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-05-15 |
| 1952892994 | Sarah Rosicky | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2018-05-25 |
| 1871014662 | Chelsie Rose Pagel | Physician Assistant | 512 S 28th Ave, Wausau, WI 54401-4147 | 2017-06-30 |
| 1770965121 | Melissa Sue Sigmund | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2015-06-22 |
| 1386024230 | Emily Lohr | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2015-06-05 |
| 1790020386 | Katherine M Klapperich | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2012-12-07 |
| 1619015088 | Todd L. Hostetler | Allergy & Immunology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2007-02-01 |
| 1851316871 | Brenda K Balthazor | Physician Assistant | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-07-12 |
| 1467491324 | Sarvi S Nalwa | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-06-06 |
| 1336195023 | Gregory K Sewall | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-05-25 |
| Find all providers in the same location | ||||
| 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 | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518179928 | John D. Wolski | Otolaryngology | 12850 Dunwoody Dr, Elm Grove, WI 53122-1415 | 2007-05-06 |
| 1154393791 | Thomas Oliver Wildes | Otolaryngology | 962 Parkland Dr, Chippewa Falls, WI 54729-5084 | 2006-02-07 |
| 1194100511 | Midwest Surgical Professionals LLC | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2015-07-27 |
| 1255582078 | Martin E. Samuel, Dds,md,sc | Otolaryngology | 2741 W Layton Ave, Suite 206, Milwaukee, WI 53221-2600 | 2008-10-10 |
| 1831359801 | Ethan B. Handler | Otolaryngology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2008-06-13 |
| 1619157161 | Michael Healy Mcdonald | Otolaryngology | 6408 Copps Ave, Monona, WI 53716-3702 | 2007-11-13 |
| 1346450558 | Ayman D Yaish | Otolaryngology | 130 Warren St, Suite 130, Beaver Dam, WI 53916 | 2007-05-23 |
| 1962617845 | Edward Lawrence Smith | Otolaryngology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2007-05-13 |
| 1629294145 | Michael James Mcavoy | Otolaryngology | 1520 N Meade St, Appleton, WI 54911-3762 | 2007-04-17 |
| 1336364546 | James L Rossiter | Otolaryngology | 10610 N Port Washington Road, Mequon, WI 53092 | 2007-04-14 |
| Find all providers with the same taxonomy | ||||
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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.