ASPIRUS DOCTORS CLINIC, INC (NPI# 1861701450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861701450 |
| Entity Type | Organization |
| Organization Name | ASPIRUS DOCTORS CLINIC, INC |
| Other Organization Name | ASPIRUS DOCTORS CLINIC CARDIOLOGY MEDFORD |
| Practice Address |
135 S Gibson St Medford WI 54451-1622 |
| Mailing Address |
Po Box 8040 Wisconsin Rapids WI 54495-8040 |
| Practice Telephone | 7157482121 |
| Mailing Telephone | 7154230122 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | FORREST DEAN DANNER JR. (VP/COO) |
| Authorized Official Telephone | 7158472975 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASPIRUS DOCTORS CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aspirus Doctors Clinic Cardiology Medford | Doing Business As Name - Organization |
| Street Address |
135 S GIBSON ST |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437184827 | Stuart Gall | Nurse Anesthetist, Certified Registered | 135 S Gibson St, Medford, WI 54451-1622 | 2006-07-12 |
| 1720631831 | Sara Jayne Stieber | Physician Assistant | 135 S Gibson St, Medford, WI 54451-1622 | 2019-07-17 |
| 1942766407 | Kerry A Lingen | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2019-02-20 |
| 1578031035 | Sheala Rae Pinter | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2018-11-02 |
| 1770067357 | Haley Erl | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2018-09-20 |
| 1265954481 | Lauren Allyson King | Speech-Language Pathologist | 135 S Gibson St, Medford, WI 54451-1622 | 2017-07-10 |
| 1467905828 | Lori Wernham | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451-1622 | 2016-08-02 |
| 1750748646 | Stacie Leahy | Dietitian, Registered | 135 S Gibson St, Medford, WI 54451-1622 | 2016-01-22 |
| 1689062721 | Caroline T Nowak | Nurse Practitioner | 135 S Gibson St, Medford, WI 54451 | 2014-12-23 |
| 1124430681 | Samantha Lang | Occupational Therapist | 135 S Gibson St, Medford, WI 54451-1622 | 2014-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| 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). |
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| 1417438359 | Ideal Option, Pllc | Clinic/Center | 216 E Main St Ste 201, Medford, OR 97501-6029 | 2018-08-28 |
| 1750828778 | Regis College | Clinic/Center | 50 Dexter St, 1, Medford, MA 02155-6668 | 2017-01-28 |
| 1629428248 | Southern Oregon Denture & Dental | Clinic/Center | 41 Hawthorne St, Medford, OR 97504-7113 | 2016-06-14 |
| 1881021715 | Oregon Health Sciences University | Clinic/Center | 3192 Arnold Palmer Way, Medford, OR 97504-7773 | 2013-10-10 |
| 1023372067 | Riverside Chiropractic Wellness Centers, Inc | Clinic/Center | 65 Riverside Ave Ste C, Medford, MA 02155-4653 | 2012-06-25 |
| 1497051320 | Northwest Diagnostic Services | Clinic/Center | 2728 W Main St, Suite 121, Medford, OR 97501-2499 | 2011-02-10 |
| 1265745541 | Oregon Internal Medicine, LLC. | Clinic/Center | 2380 W Main St, Suite, A, Medford, OR 97501-2390 | 2010-07-15 |
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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.