NPIMap

Individual provider Active NPI

Scott James Kantola, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wausau, WI
National Provider Identifier
1326211384
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
61844 Issued in WI
Practice address
425 Pine Ridge Blvd Ste 200
Wausau, WI 54401-4123
Phone
(715) 847-0075
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 54706 MN
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 61844 WI Primary

Addresses

Primary practice location

425 Pine Ridge Blvd Ste 200
Wausau, WI 54401-4123

Mailing address

425 Pine Ridge Blvd Ste 200
Wausau, WI 54401-4123
Phone (715) 847-0075

Other identifiers 1

IdentifierTypeStateIssuer
32907900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140709002100 WI Practitioner - Pathology 4880840362 Reassigns benefits to 2 organizations
I20160204001439 MI Practitioner - Pathology 4880840362 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Wisconsin, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, 126 clinicians
Gastrointestinal Associates S.C.Group PAC ID 4385677814, 42 clinicians

Practice addresses (Care Compare)

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558

Hospital & facility affiliations

  • Aspirus Medford Hospital & Clinics, Inc Hospital, Medford, WI, CCN 521324
  • Aspirus Ironwood Hospital Hospital, Ironwood, MI, CCN 231333
  • Aspirus Iron River Hospital & Clinics, Inc Hospital, Iron River, MI, CCN 231318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61844WIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Jan 1, 2024 Accepting new patients
Portage Hospital LLC CurrentSince Feb 3, 2016 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Aspirus Keweenaw CurrentSince Jan 1, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Feb 3, 2016 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 26, 2025 Accepting new patients
Medical Laboratories of Marquette, PC Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2016 Accepting new patients
Portage Hospital LLC CurrentSince Feb 3, 2016 Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Feb 3, 2016 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Gastrointestinal Associates S.C. CurrentSince Feb 1, 2020 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 26, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Associates in Pathology, S.C. Anatomic Pathology & Clinical Pathology PastSince Sep 1, 2019 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1328 US Highway 2
Crystal Falls, MI 49920
Phone (906) 774-8110

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000

5700 Southwyck Blvd
Toledo, OH 43614

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

411 Westwood Dr
Wausau, WI 54401
Phone (715) 479-0374

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1326211384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014123",
            "telephone_number": "715-847-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014123",
            "telephone_number": "715-847-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOLA",
        "first_name": "SCOTT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MN",
            "license": "54706",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "61844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32907900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.