Sunrise Family Care Clinic SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45925-020 Issued in WI

Legal business name

SUNRISE FAMILY CARE CLINIC SC

Practice address

2829 County Highway I
Suite 2
Chippewa Falls, WI 54729

Phone

(715) 726-3096

Fax

(715) 726-3979

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Landwehr, M.D.NPI 1386647246

Title

Owner/ Practioner

Phone

(715) 726-3096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Mary Lisa Landwehr, MD

  • Family Medicine Physician
  • Chippewa Falls, WI
  • NPI 1386647246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1316257967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I",
            "address_2": "SUITE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-726-3096",
            "fax_number": "715-726-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I",
            "address_2": "SUITE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-726-3096",
            "fax_number": "715-726-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY CARE CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "LANDWEHR",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/ PRACTIONER",
        "authorized_official_telephone_number": "715-726-3096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45925-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Stromich, M.D.
• Tontiana Nicole Strong, SAC
• Stucky Chiropractic Proadjuster of Lake Hallie, SC
• Tara Stumpf
• Joseph K Sumner
• David P Sutton, M.D.
• Porter Todd Swartz, OD
• Sweeney Family Dental Chippewa Falls LLC
• Richard A Sweeney, DDS
• Stephanie Ann Sworski, MD

• Family Medicine Physician in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.