Active NPI
Aspirus Medical Group, Inc.
Doing business as Aspirus Family Walk in
- Clinic/Center
- Wausau, WI
National Provider Identifier
1194809491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ASPIRUS MEDICAL GROUP, INC.
- Doing business as
- Aspirus Family Walk in
- Practice address
- 2720 Plaza Dr
Suite 1100
Wausau, WI 54401-4158 - Phone
- (715) 847-2472
- NPI assigned
- Oct 24, 2006
- Last updated
- Jun 14, 2024
- Organization subpart
- Yes
- Parent organization
- ASPIRUS MEDICAL GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry M Yang
- Title
- SVP & Chief Financial Officer
- Phone
- (715) 847-2526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | WI | Primary |
Addresses
Primary practice location
2720 Plaza Dr
Suite 1100
Wausau, WI 54401-4158
Mailing address
29980 Network PL
Chicago, IL 60673-1299
Phone (715) 847-2304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32872200 | Medicaid | WI |
Other names 2
- Aspirus Family Walk in
- Aspirus Clinics, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000267 | WI | Part B Supplier - Clinic/Group Practice | 1052223625 |
Receives reassigned benefits from 484 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Mosinee Family Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1194809491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29980 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731299",
"telephone_number": "715-847-2304",
"fax_number": "715-843-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 PLAZA DR",
"address_2": "SUITE 1100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014158",
"telephone_number": "715-847-2472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRUS MEDICAL GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASPIRUS MEDICAL GROUP, INC.",
"enumeration_date": "2006-10-24",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "715-847-2526"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32872200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspirus Family Walk in",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aspirus Family Walk in",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aspirus Clinics, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Wausau, WI
- Aspirus Medical Group, Inc. (Aspirus Cardiology)
- Aspirus Medical Group, Inc. (Aspirus Endocrinology Clinic)
- Aspirus Medical Group, Inc. (Aspirus OB/GYN Associates)
- Aspirus Medical Group, Inc. (Aspirus Pediatrics)
- Aspirus Medical Group, Inc.
- Aspirus Medical Group, Inc. (Wausau Heart & Lung Surgeons)
- Aspirus Medical Group, Inc. (Aspirus Wausau Clinic - N 3rd Street)
- Aspirus Medical Group, Inc. (Aspirus Wausau Clinic - Westwood Center Blvd)
- Aspirus Medical Group, Inc. (Aspirus Wausau Clinic - Dermatology)
- Aspirus Medical Group, Inc. (Aspirus Diabetes Education Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.