Surgical Associates of Wisconsin Rapids SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF WISCONSIN RAPIDS SC

Practice address

420 Dewey St
Suite 2
Wisconsin Rapids, WI 54494-4714

Phone

(715) 422-7771

Fax

(715) 424-4404

NPI assigned

Jul 20, 2006

Last updated

Aug 15, 2014By 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

Dr. Marjorie S Miller, M.D.

Title

President

Phone

(715) 422-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1225058514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DEWEY ST",
            "address_2": "SUITE 2",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944714",
            "telephone_number": "715-422-7771",
            "fax_number": "715-424-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEWEY ST",
            "address_2": "SUITE 2",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944714",
            "telephone_number": "715-422-7771",
            "fax_number": "715-424-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF WISCONSIN RAPIDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-422-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21294100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Thomas Streckert, COTA
• Beth Louise Sullivan, MS
• Rebecca J Super, D.C.
• Thomas Michael Surendonk, MSSW
• Surgery Center of Wisconsin Rapids, LLC
• Robin Swanson
• Myra L Swiston, PT
• Dawn Tammen, O.N.C. R.N. F.A.
• Shee-Chang Tang, MD
• Ron M Taub, O.D.

• Surgery Physician in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.