NPIMap

Organization Active NPI

Podiatry Associates of Wausau, S.C.

  • Podiatrist
  • Wausau, WI
National Provider Identifier
1568456218
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY ASSOCIATES OF WAUSAU, S.C.
Practice address
1445 Merrill Ave
Wausau, WI 54401-2646
Phone
(715) 675-2321
Fax
(715) 675-6530
NPI assigned
Sep 8, 2005
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Michael E. Jourdan, D.P.M.NPI 1942294699
Title
President
Phone
(715) 675-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X WI Primary

Addresses

Primary practice location

1445 Merrill Ave
Wausau, WI 54401-2646

Mailing address

1445 Merrill Ave
Wausau, WI 54401-2646
Phone (715) 675-2321

National Provider Directory

National Provider Directory

Locations

1445 Merrill Ave
Wausau, WI 54401
Phone (715) 675-2321

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1568456218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012646",
            "telephone_number": "715-675-2321",
            "fax_number": "715-675-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012646",
            "telephone_number": "715-675-2321",
            "fax_number": "715-675-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF WAUSAU, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "JOURDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-675-2321",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": null,
            "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 Mar 6, 2008; 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.