Individual provider Active NPI

Gerald M. Wait, M.D.

  • Surgery Physician
  • Rhinelander, WI
National Provider Identifier
1467493510
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
124 Issued in WI
Practice address
2251 N Shore Dr
Rhinelander, WI 54501
Phone
(715) 361-4700
NPI assigned
Jun 9, 2006
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 32076 IA
Surgery Physician 208600000X 124 WI Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 32076 IA

Addresses

Primary practice location

2251 N Shore Dr
Rhinelander, WI 54501

Mailing address

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-4700

Other practice location 1

2710 Saint Francis Dr
Suite 410
Waterloo, IA 50702-5619
Phone (319) 272-5000

Other identifiers 1

IdentifierTypeStateIssuer
0159566MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gerald.wait.1@10114.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100604000650 IA Practitioner - General SurgeryPractitioner - Thoracic Surgery 9436289253 Reassigns benefits to 1 organization
I20180615000983 WI Practitioner - General Practice 9436289253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124WIMDMarriage & Family Therapist
32076IAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Health Group LLC CurrentSince Apr 19, 2018 Accepting new patients
Ottumwa Health Group LLC CurrentSince Apr 19, 2018 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1467493510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-361-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Saint Francis Dr",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025619",
            "country_code": "US",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAIT",
        "first_name": "GERALD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "32076",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "124",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "32076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159566",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerald.wait.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2251 N Shore Dr",
            "city": "Rhinelander",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.