Western Wisconsin Ear, Nose & Throat Center, S.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

27186 Issued in WI

Legal business name

WESTERN WISCONSIN EAR, NOSE & THROAT CENTER, S.C.

Practice address

2119 Heights Dr
Eau Claire, WI 54701-6130

Phone

(715) 831-0289

Fax

(715) 831-4722

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard T Crane, MD

Title

President

Phone

(715) 831-0289

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1174535751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HEIGHTS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016130",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 HEIGHTS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016130",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WISCONSIN EAR, NOSE & THROAT CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-831-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "27186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30834500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Eau Claire Rehabilitation and Nursing Center LLC
• Derek West, MD
• Emily West, DPT
• Grace West, PA-C
• Barbara L Westerberg, CADCIII
• Western Wisconsin Urology
• Western Wisconsin Urology
• Lauren Wetter, OTR/L
• Donna Renee Whalen, NP
• Barbara Sue Wheeler, LAC

• Otolaryngology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Otolaryngology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.