Organization Active NPI

University of Wisconsin Medical Foundation, Inc

  • Multi-Specialty Clinic/Center
  • Wausau, WI
National Provider Identifier
1033433495
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC
Practice address
425 Wind Ridge Dr
Wausau, WI 54401-1897
Phone
(715) 675-5201
NPI assigned
Mar 15, 2010
Organization subpart
Yes
Parent organization
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzanne L Zimmerman
Title
Director, Patient Business Services
Phone
(608) 829-5625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

425 Wind Ridge Dr
Wausau, WI 54401-1897

Mailing address

7974 Uw Health Court
Middleton, WI 53562-5531
Phone (608) 829-5485

Other names 1

  • Wausau Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000435 WI Part B Supplier - Clinic/Group Practice 6608785464 Receives reassigned benefits from 3,068 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Univ of Wisconsin Medical

Locations

20 S Park St
Ste 307
Madison, WI 53715
Phone (608) 287-2830

1102 S Park St
Ste 300
Madison, WI 53715
Phone (608) 263-9550

1102 S Park St
Fl 3
Madison, WI 53715
Phone (608) 263-9550

1101 S Park St
Madison, WI 53715

451 Junction Rd
Madison, WI 53717
Phone (608) 263-5010

2349 Deming Way
Ste 100
Middleton, WI 53562

2275 Deming Way
Middleton, WI 53562
Phone (608) 282-8200

600 Highland Ave
Milwaukee, WI 53278

600 N 8th St
Mount Horeb, WI 53572
Phone (608) 437-3064

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1033433495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH COURT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5485",
            "fax_number": "608-833-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011897",
            "telephone_number": "715-675-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, PATIENT BUSINESS SERVICES",
        "authorized_official_telephone_number": "608-829-5625"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wausau Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.