Gi Consult, SC – Gastroenterology Physician

Key facts

NPI: 1265628317
Entity type: Organization (NPI type 2)
Primary specialty: Gastroenterology Physician 207RG0100X
License: 45086-020 (WI)
Legal business name: GI CONSULT, SC
Practice address: 1506 Pine View LN
Wausau, WI 54403-2361
Phone: (715) 675-1177
NPI assigned: Sep 22, 2007
Organization subpart: No

Authorized official

Name: Dr. Christopher James Magiera, MD
Title: President
Phone: (715) 675-1177

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Pamela G Galloway, MD Surgery Physician · Wausau, WI · NPI 1912952318

NPD (past)

National Provider Directory

Locations

413 N 17th Ave
Ste 120
Wausau, WI 54401
Phone (715) 355-9009

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Gastroenterology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207RG0100X	45086-020	WI	Yes

Addresses

Primary practice location

1506 Pine View LN
Wausau, WI 54403-2361

Mailing address

1506 Pine View LN
Wausau, WI 54403-2361
Phone (715) 675-1177

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2011.

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312675200000",
    "number": "1265628317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 PINE VIEW LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544032361",
            "telephone_number": "715-675-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 PINE VIEW LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544032361",
            "telephone_number": "715-675-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI CONSULT, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2011-08-07",
        "status": "A",
        "authorized_official_last_name": "MAGIERA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-675-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "45086-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

All providers in Wausau, WI · Gastroenterology Physician in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.