Surgical Associates, SC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SURGICAL ASSOCIATES, SC

Practice address

2400 Pine Ridge Blvd
Wausau, WI 54401-7803

Phone

(715) 847-2022

Fax

(715) 847-2775

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayanne Lehman

Title

Access Manager

Phone

(715) 847-2022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1205515491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017803",
            "telephone_number": "715-847-2022",
            "fax_number": "715-847-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017803",
            "telephone_number": "715-847-2022",
            "fax_number": "715-847-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "KAYANNE",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "715-847-2022"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Stutzriem, PT, ATC
• Marcus Sublette, M.D.
• Jessica Suchomski, RN
• Alex Takashi Suginaka, D.O.
• Surgical Associates, S.C.
• Amanda Lauren Susa, OTR
• Susan Stacker DDS SC
• Amy L Sutheimer, DPT
• James P Sutherland Jr., MD
• Lois Swanson, LCSW

• Physician Assistant in Wausau, WI
• Providers in Wausau, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.