NPIMap

Organization Active NPI

Northern Wisconsin Bone & Joint

  • Specialist
  • Wausau, WI
National Provider Identifier
1124354345
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHERN WISCONSIN BONE & JOINT
Practice address
5200 Hummingbird Rd
Suite 100
Wausau, WI 54401-6312
Phone
(715) 358-1911
Fax
(715) 358-1912
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Mrs. Carilyn J Olejniczak
Title
Billing Coordinator
Phone
(715) 358-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5200 Hummingbird Rd
Suite 100
Wausau, WI 54401-6312

Mailing address

7520 Hwy 51 S
Minocqua, WI 54548-8943
Phone (715) 358-1911

Other identifiers 3

IdentifierTypeStateIssuer
21298800MedicaidWI
CQ2410OtherWIRR MEDICARE
1052540001OtherWIDMERC

National Provider Directory

National Provider Directory
Tax ID family
Northern Wisconsin Bone Joint5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1124354345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 HWY 51 S",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488943",
            "telephone_number": "715-358-1911",
            "fax_number": "715-358-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HUMMINGBIRD RD",
            "address_2": "SUITE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544016312",
            "telephone_number": "715-358-1911",
            "fax_number": "715-358-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WISCONSIN BONE & JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "OLEJNICZAK",
        "authorized_official_first_name": "CARILYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "715-358-1911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21298800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CQ2410",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1052540001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2010; 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.