Individual provider Active NPI

Steven D. Dahm, MD

  • Surgery Physician
  • Stanley, WI
National Provider Identifier
1508969130
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30113 Issued in WI
Practice address
1120 Pine St
Stanley, WI 54768
Phone
(715) 644-5571
NPI assigned
Sep 7, 2006
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30113 WI Primary

Addresses

Primary practice location

1120 Pine St
Stanley, WI 54768

Mailing address

1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5571

Other practice location 1

1205 O'Day St
Merrill, WI 54452-3499
Phone (715) 539-0101

Other practice location 2

1205 O'Day St
Merrill, WI 54452-3499
Phone (715) 539-0101

Other identifiers 1

IdentifierTypeStateIssuer
APPRMedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30113WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 11, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 11, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Organizations & group practices 2

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1508969130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PINE ST",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547681297",
            "telephone_number": "715-644-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PINE ST",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "54768",
            "telephone_number": "715-644-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 O'Day St",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544523499",
            "country_code": "US",
            "telephone_number": "715-539-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 O'Day St",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544523499",
            "country_code": "US",
            "telephone_number": "715-539-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHM",
        "first_name": "STEVEN",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "30113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPR",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, WI

Sources for this page

Verify at the official NPI Registry.