Antigo Medical Building, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANTIGO MEDICAL BUILDING, LLC

Practice address

1111 Langlade Rd
Antigo, WI 54409-2787

Phone

(715) 623-3761

Fax

(715) 623-3764

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By 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

Michelle Undeen

Title

Credentialing Specialist

Phone

(239) 427-1257

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Steve A Weber, DO

  • Family Medicine Physician
  • Antigo, WI
  • NPI 1730196668
  NPD

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1396575353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LANGLADE RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092787",
            "telephone_number": "715-623-3761",
            "fax_number": "715-623-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LANGLADE RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092787",
            "telephone_number": "715-623-3761",
            "fax_number": "715-623-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIGO MEDICAL BUILDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "UNDEEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "239-427-1257"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd E. Anderson, C.R.N.A.
• Antigo Chiropractic Health Center, Inc (Goldsworthy Chiropractic)
• Antigo Dental Clinic L.L.C.
• Antigo Eye Care Center
• Antigo Family Chiropractic Center LLC
• Antigo Total Therapy & Sports Rehab Center Inc
• Antigo Vans LLC
• Antigo Vision Clinic SC
• Douglas Paul Armato, MD
• Wendee M. Arrowood, RDHP

• Family Medicine Physician in Antigo, WI
• Providers in Antigo, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.