Organization Active NPI

Marshfield Clinic, Inc.

Doing business as Marshfield Clinic/Weston Oral and Facial Cosmetic Surgery Center

  • Durable Medical Equipment & Medical Supplies
  • Weston, WI
National Provider Identifier
1114156825
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHFIELD CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Peter C. Meyer, MDNPI 1407961980
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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.