NPIMap

Organization Active NPI

Oakleaf Clinics Inc

Doing business as Oakleaf Clinics OB Gyn

  • Obstetrics & Gynecology Physician
  • Eau Claire, WI
National Provider Identifier
1194289751
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OAKLEAF CLINICS INC
Doing business as
Oakleaf Clinics OB Gyn
Practice address
3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone
(715) 836-9242
Fax
(715) 836-7847
NPI assigned
Jan 29, 2019
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
OAKLEAF CLINICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Chris Longbella, MDNPI 1992804413
Title
President
Phone
(715) 836-9242

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3213 Stein Blvd
Eau Claire, WI 54701-6946

Mailing address

719 W Hamilton Ave Ste B
Eau Claire, WI 54701-6970

Other practice location 1

855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 836-9242

Other names 1

  • Oakleaf Clinics OB Gyn Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000195 WI Part B Supplier - Clinic/Group Practice 4486831328 Receives reassigned benefits from 120 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rice Lake, WI; Menomonie, WI; Ladysmith, WI; Eau Claire, WI; Cornell, WI; Chippewa Falls, WI; Altoona, WI

Other NPIs on the same Medicare enrollment 15

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

View all 15

National Provider Directory

National Provider Directory
Part of
Oakleaf Clinics SC

Practitioners & affiliated clinicians

Practitioners 11

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": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1194289751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE STE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016946",
            "telephone_number": "715-836-9242",
            "fax_number": "715-836-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547291687",
            "country_code": "US",
            "telephone_number": "715-836-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKLEAF CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKLEAF CLINICS INC",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-09-21",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "LONGBELLA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-836-9242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakleaf Clinics OB Gyn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakleaf Clinics OB Gyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.