DR. JOHN J PETRONOVICH


Address: 2727 Plaza Dr, Wausau, WI 54401-4129
Phone: 2624430948

DR. JOHN J PETRONOVICH (NPI# 1548600190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548600190
Entity Type Individual
Full Name DR. JOHN J PETRONOVICH
Credential M.D.
Practice Address 2727 Plaza Dr
Wausau
WI 54401-4129
Mailing Address 1415 N Broadway Ave
Marshfield
WI 54449-1321
Practice Telephone 2624430948
Mailing Telephone 2624430948
Enumeration Date 2013-06-27
Last Update Date 2018-11-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 62902-02 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 2727 PLAZA DR
City WAUSAU
State WI
Zip Code 54401-4129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033102546 Naomi E Arenson Psychiatry & Neurology 2727 Plaza Dr, Wausau, WI 54401-4129 2005-08-30
1093332108 Sara D'anne Smith Registered Nurse 2727 Plaza Dr, Wausau, WI 54401-4129 2020-07-06
1154982296 Kelly M Jonas Nurse Practitioner 2727 Plaza Dr, Wausau, WI 54401-4129 2019-06-27
1639638174 Michael J Darr Nurse Practitioner 2727 Plaza Dr, Wausau, WI 54401-4129 2019-03-14
1801364245 Tracy Brock Nurse Practitioner 2727 Plaza Dr, Wausau, WI 54401-4129 2018-11-04
1548742703 Kayleigh Amanda Gospodarek Physician Assistant 2727 Plaza Dr, Wausau, WI 54401-4129 2018-09-04
1184135949 Claudia Gineta Istrate Internal Medicine 2727 Plaza Dr, Wausau, WI 54401-4129 2017-10-19
1942733845 Erin M. Kern Nurse Practitioner 2727 Plaza Dr, Wausau, WI 54401 2017-04-06
1790217503 Sean Sarazen Optometrist 2727 Plaza Dr, Wausau, WI 54401-4129 2017-03-30
1548613581 Diane Mary Alber Nurse Practitioner 2727 Plaza Dr, Wausau, WI 54401-4129 2016-07-14
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Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912952318 Pamela G Galloway Surgery 1506 Pine View Ln, Wausau, WI 54403-2361 2006-05-23
1558363432 James P. Binder Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 2005-08-11
1447593835 Jeremiah Olson Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401 2013-04-03
1548451230 Breast Center of Central Wisconsin, S.c Surgery 1506 Pine View Ln, Wausau, WI 54403-2361 2007-08-07
1023229382 Gary Theodore Sweet Jr. Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 2007-05-25
1942412044 Jennine Larson Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 2007-05-03
1306993332 Benjamin James Herdrich Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 2007-01-04
1619997046 William A Wilfley Jr. Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 2006-07-20
1710910476 Surgical Associates, S.c. Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 2006-07-08
1477599603 Dennis J. Costa Surgery 2400 Pine Ridge Blvd, Wausau, WI 54401 2006-06-22
Find all providers in WAUSAU

Competitor

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City WAUSAU
Zip Code 54401

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Dataset Information

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.

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