Individual provider Active NPI

Carol Gliszinski, CSFA

  • Surgical Assistant
  • Wausau, WI
National Provider Identifier
1396283974
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
106487 Issued in WI
Practice address
3901 Stewart Ave
Wausau, WI 54401-3948
Phone
(715) 907-0900
Fax
(715) 803-6977
NPI assigned
Feb 3, 2017
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 106487 WI Primary

Addresses

Primary practice location

3901 Stewart Ave
Wausau, WI 54401-3948

Mailing address

3901 Stewart Ave
Wausau, WI 54401-3948
Phone (715) 907-0900

Other practice location 1

3200 Westhill Dr
Suite 201
Wausau, WI 54401-4705
Phone (715) 847-2382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106487WIMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1396283974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013948",
            "telephone_number": "715-907-0900",
            "fax_number": "715-803-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013948",
            "telephone_number": "715-907-0900",
            "fax_number": "715-803-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Westhill Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014705",
            "country_code": "US",
            "telephone_number": "715-847-2382",
            "fax_number": "715-847-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLISZINSKI",
        "first_name": "CAROL",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "106487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.