Active NPI
Larry Thomas Hegland, MD
- Anesthesiology Physician
- Weston, WI
National Provider Identifier
1447315510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 48942
- Practice address
- 3400 Ministry Pkwy
Saint Clare'S Hospital
Weston, WI 54476-5220 - Phone
- (715) 393-2487
- Fax
- (715) 359-1087
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 48942 | WI | Primary |
| Anesthesiology Physician | 207L00000X | C1-0005692 | DE |
Addresses
Primary practice location
3400 Ministry Pkwy
Saint Clare'S Hospital
Weston, WI 54476-5220
Mailing address
3403 Hidden Links Dr
Wausau, WI 54403-9127
Phone (715) 241-8877
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005692 | DE | MD | Anesthesiology Physician |
| 48942 | WI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447315510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 HIDDEN LINKS DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544039127",
"telephone_number": "715-241-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 MINISTRY PKWY",
"address_2": "SAINT CLARE'S HOSPITAL",
"city": "WESTON",
"state": "WI",
"postal_code": "544765220",
"telephone_number": "715-393-2487",
"fax_number": "715-359-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGLAND",
"first_name": "LARRY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "48942",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DE",
"license": "C1-0005692",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.