Active NPI
Marshfield Clinic, Inc.
Doing business as Marshfield Clinic/Weston Oral and Facial Cosmetic Surgery Center
- Durable Medical Equipment & Medical Supplies
- Weston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARSHFIELD CLINIC, INC.
- Doing business as
- Marshfield Clinic/Weston Oral and Facial Cosmetic Surgery Center
- Practice address
- 4107 Barbican Ave
Suite 200
Weston, WI 54476-4143 - Phone
- (715) 393-0080
- NPI assigned
- Jul 2, 2009
- Last updated
- Dec 17, 2014
- Organization subpart
- Yes
- Parent organization
- MARSHFIELD CLINIC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter C. Meyer, MD
- Title
- Medical Director Reimbursement
- Phone
- (715) 387-5511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4107 Barbican Ave
Suite 200
Weston, WI 54476-4143
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other names 1
- Marshfield Clinic/Weston Oral and Facial Cosmetic Surgery Center
National Provider Directory
National Provider Directory- Part of
- Marshfield Clinic Lakel
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Marshfield, WI
- NPI 1407961980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418774400000",
"number": "1114156825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 BARBICAN AVE",
"address_2": "SUITE 200",
"city": "WESTON",
"state": "WI",
"postal_code": "544764143",
"telephone_number": "715-393-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHFIELD CLINIC, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARSHFIELD CLINIC, INC.",
"enumeration_date": "2009-07-02",
"last_updated": "2014-12-17",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR REIMBURSEMENT",
"authorized_official_telephone_number": "715-387-5511",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marshfield Clinic/Weston Oral and Facial Cosmetic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.