NPIMap

Individual provider Active NPI

Stephen B Stine, MD

  • Diagnostic Radiology Physician
  • Wausau, WI
National Provider Identifier
1376555839
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40699 Issued in WI
Practice address
3200 Westhill Dr Ste 210
Wausau, WI 54401-4707
Phone
(715) 847-2020
Fax
(715) 847-0020
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40699 WI Primary

Addresses

Primary practice location

3200 Westhill Dr Ste 210
Wausau, WI 54401-4707

Mailing address

3200 Westhill Dr Ste 210
Wausau, WI 54401-4707
Phone (715) 847-2020

Other identifiers 1

IdentifierTypeStateIssuer
32665300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326001008 WI Practitioner - Diagnostic Radiology 8022900992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Wausau SCGroup PAC ID 7618869587, 23 clinicians

Practice addresses (Care Compare)

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 847-2019

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

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

1630 N Chippewa Dr
Rhinelander, WI 54501-9503
Phone (715) 361-5480

1660 Sue Alan Dr
Wittenberg, WI 54499-8655
Phone (715) 253-2110

1881 County Rd XX
Kronenwetter, WI 54455-7933
Phone (715) 355-4040

1901 Westwood Ctr Blvd
Wausau, WI 54401-2892
Phone (715) 847-2020

2720 Plaza Dr
Suite 1300
Wausau, WI 54401-4165
Phone (715) 847-2630

3200 Westhill Dr
Suite 102
Wausau, WI 54401-4706
Phone (715) 847-2019

3333 E Main St
Merrill, WI 54452-8959
Phone (715) 539-5600

400 Westwood Dr
Wausau, WI 54401-7801
Phone (715) 359-6442

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 344-1600

8201 Mish Ko Swen Dr
Crandon, WI 54520-8631
Phone (715) 478-4300

902 N 3Rd St
Wausau, WI 54403-4708
Phone (715) 841-9830

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Wausau, SC Diagnostic Radiology CurrentSince Feb 1, 1999 Accepting new patients

Locations

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

3200 Westhill Dr
Ste 210
Wausau, WI 54401
Phone (715) 847-2020

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

3200 Westhill Dr
Ste 102
Wausau, WI 54401
Phone (715) 847-2020

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 1

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.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376555839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR STE 210",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014707",
            "telephone_number": "715-847-2020",
            "fax_number": "715-847-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR STE 210",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014707",
            "telephone_number": "715-847-2020",
            "fax_number": "715-847-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "STEPHEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "40699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32665300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.