NPIMap

Organization Active NPI

Peter a Throm

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1639454283
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4621-012 Issued in WI
Legal business name
PETER A THROM
Doing business as
Wausau Community Chiropractic
Practice address
605 S 24TH Ave
Suite 46
Wausau, WI 54401-1705
Phone
(715) 393-5227
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

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

Authorized official

Name
Dr. Peter Allen Throm, D.C.
Title
Owner
Phone
(715) 393-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4621-012 WI Primary

Addresses

Primary practice location

605 S 24TH Ave
Suite 46
Wausau, WI 54401-1705

Mailing address

708 Fulton St
Apartment 123
Wausau, WI 54403-4943
Phone (715) 393-5227

Other identifiers 1

IdentifierTypeStateIssuer
1649596651MedicaidWI

Other names 1

  • Wausau Community Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318723200000",
    "number": "1639454283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 FULTON ST",
            "address_2": "APARTMENT 123",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034943",
            "telephone_number": "715-393-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S 24TH AVE",
            "address_2": "SUITE 46",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011705",
            "telephone_number": "715-393-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A THROM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-16",
        "status": "A",
        "authorized_official_last_name": "THROM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-393-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4621-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649596651",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wausau Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 2011; 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.