BONE & JOINT CLINIC S.C. (NPI# 1902850696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902850696 |
| Entity Type | Organization |
| Organization Name | BONE & JOINT CLINIC S.C. |
| Practice Address |
225000 Hummingbird Rd Ste 100 Wausau WI 54401-6312 |
| Practice Telephone | 7153596442 |
| Practice Fax Number | 7153930390 |
| Mailing Telephone | 7153596442 |
| Mailing Fax Number | 7153930390 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | JAYNE E JANIKOWSKI (PATIENT ACCESS MANAGER) |
| Authorized Official Telephone | 7153596442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32698700 | 05 | |
| WI | MEDICARE NSC | 0578690002 | 01 |
| WI | MEDICARE RAILROAD | CU0530 | 01 |
| 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 |
| 1184273799 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 100 Eagle Drive, Merrill, WI 54452 | 2019-09-06 |
| 1366091977 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 1767 Park Ave, Suite 100, Plover, WI 54467 | 2019-09-06 |
| Street Address |
225000 HUMMINGBIRD RD STE 100 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071088 | Jean M Volm | Nurse Practitioner | 225000 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2019-12-26 |
| 1396279022 | Stephanie M. Kniech | Physician Assistant | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2017-04-19 |
| 1477948834 | Brittany Bickelhaupt | Physical Medicine & Rehabilitation | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2015-04-02 |
| 1972934560 | Amanda Mundt | Physician Assistant | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2013-12-06 |
| 1457783136 | Matthew J Moore | Physical Therapist | 225000 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2013-08-05 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386742120 | Gregg W Taylor | Orthopaedic Surgery | 7301 Goldenrod Cir, Wausau, WI 54401-8913 | 2006-09-20 |
| 1013336577 | John James Verre | Orthopaedic Surgery | 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 | 2014-04-14 |
| 1639302623 | Jeffrey Michel Keola Martin | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-25 |
| 1598911257 | Douglas James Keele | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2008-08-13 |
| 1376756924 | Jeremy W. Russell | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2007-05-08 |
| 1235141334 | Daniel D Priebe | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-08-13 |
| 1326051459 | Pamela E Glennon | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-08-13 |
| 1659380319 | James V Bruno | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-08-05 |
| 1194752923 | William E Wessels Jr. | Orthopaedic Surgery | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2006-06-27 |
| 1023050093 | Eric Thiel | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-06-12 |
| 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.