Mid Wisconsin Ear, Nose & Throat Professionals

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

37345 Issued in WI

Legal business name

MID WISCONSIN EAR, NOSE & THROAT PROFESSIONALS

Practice address

2600 Rib Mountain Dr
Suite 200
Wausau, WI 54401-7196

Phone

(715) 845-2423

Fax

(715) 845-6768

NPI assigned

Oct 27, 2009

Last updated

Jun 8, 2011By 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. Ian Richard Swift, M.D.NPI 1881631802

Title

Owner

Phone

(715) 845-2423

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ian R Swift, MD

  • Otolaryngology Physician
  • Gillette, WY
  • NPI 1881631802
  NPD (past) Authorized official
• Melinda A. Brahmer, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Medford, WI
  • NPI 1164597126
  NPD (past)

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1366778250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W FRANK ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032593",
            "telephone_number": "715-832-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR",
            "address_2": "SUITE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-845-2423",
            "fax_number": "715-845-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID WISCONSIN EAR, NOSE & THROAT PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-845-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "WI",
            "license": "37345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881631802",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare Marie Meyer, PH.D.
• Jakson Henry Meyer, ATC
• Katie J Michalski, OD
• Jennifer Michels, PHD
• Evalyn Michira, AGCNS-BC
• Midwest Alliance Services LLC
• Midwest Eye Laboratories Inc
• Jennifer A Mikulich, RD CD
• Michael Miles, D.D.S.
• Ronald H Miles, MD

• Facial Plastic Surgery Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Facial Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.