MARSHFIELD CLINIC INC (NPI# 1649649187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649649187 |
| Entity Type | Organization |
| Organization Name | MARSHFIELD CLINIC INC |
| Other Organization Name | WAUSAU COMFORT/RECOVERY SUITES |
| Practice Address |
2727 Plaza Dr Wausau WI 54401-4129 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7158473000 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | MATTHEW THOMAS (TREASURER, MARSHFIELD CLINIC, INC.) |
| Authorized Official Telephone | 7153875511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHFIELD CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wausau Comfort/Recovery Suites | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1194066357 | Marshfield Clinic Inc | Clinic/Center | 1400 Laemle Ave, Marshfield, WI 54449-4651 | 2013-03-12 |
| 1992023295 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 630 S. Central Ave., Suite 106, Marshfield, WI 54449-4196 | 2010-05-11 |
| 1003980830 | Marshfield Clinic Inc | Pharmacy | 1700 W Stout St Ste 300, Rice Lake, WI 54868 | 2006-11-20 |
| 1083790604 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 212800 Stainless Ave, Stratford, WI 54484-4325 | 2006-10-27 |
| 1437520640 | Marshfield Clinic Inc | Clinic/Center | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2015-10-14 |
| 1881063329 | Marshfield Clinic Inc | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-09-15 |
| 1376859546 | Marshfield Clinic Inc | Clinic/Center | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2010-08-26 |
| 1245435015 | Marshfield Clinic Inc | Pharmacy | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2007-06-20 |
| Street Address |
2727 PLAZA DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4129 |
| 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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| 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 |
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| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
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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.