Marshfield Clinic Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARSHFIELD CLINIC INC.

Doing business as

Marshfield Clinic Hayward Physical Therapy Center

Practice address

15954 Rivers Edge Dr
Suite 350
Hayward, WI 54843-7888

Phone

(715) 387-5511

NPI assigned

Oct 1, 2015

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MARSHFIELD CLINIC INCAs reported in NPPES

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

Authorized official

Name

Matthew Thomas, MD

Title

Treasurer, Marshfield Clinic, Inc.

Phone

(715) 387-5511

Specialties & licenses 1

Addresses

Other names 1

• Marshfield Clinic Hayward Physical Therapy Center Doing business as

Part of

Marshfield Clinic Lakel

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1356711444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15954 RIVERS EDGE DR",
            "address_2": "SUITE 350",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437888",
            "telephone_number": "715-387-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHFIELD CLINIC INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC INC",
        "enumeration_date": "2015-10-01",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "TREASURER, MARSHFIELD CLINIC, INC.",
        "authorized_official_telephone_number": "715-387-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshfield Clinic Hayward Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Joyce Lundberg, PHARMACY TECHNICIAN
• Kevin Lynch, LPC
• Harry Douglas Malcolm, MD
• Ashley Nicole Marino, MA, CCC-SLP
• August Marleau
• Tracy M Martin, LPC
• Kathryn Eugenia Marucha, COTA
• Mary Cord Mason, M.D.
• Robyn McAlpine
• Michael McCusker, R.P.T.

• Durable Medical Equipment & Medical Supplies in Hayward, WI
• Providers in Hayward, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.