Park Manor LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PARK MANOR LTD

Practice address

250 Lawrence Ave
Park Falls, WI 54552-1431

Phone

(715) 762-2449

Fax

(715) 762-3321

NPI assigned

Jun 10, 2013

Organization subpart

Yes

Parent organization

PARK MANOR LTDAs reported in NPPES

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

Authorized official

Name

Sharon Schultz

Title

President

Phone

(715) 762-2449

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Park Manor LTD

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1649618927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LAWRENCE AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521431",
            "telephone_number": "715-762-2449",
            "fax_number": "715-762-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LAWRENCE AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521431",
            "telephone_number": "715-762-2449",
            "fax_number": "715-762-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MANOR LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK MANOR LTD",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-762-2449"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy T. Nesbit, DPT, LAT, CSCS
• Latasha Lynn Newbury, OTR/L
• Jane Antoinette Novitzke, APNP, RN, NHA
• Jordan Michael Oien, DC
• Park Falls Regional Medical Clinic, S.C.
• Park Manor, LTD.
• Park Manor, LTD.
• Park Pharmacy Inc (North Central IV)
• Park Pharmacy Inc
• Amy Pearson, MA, PT, CWS

• Clinical Medical Laboratory in Park Falls, WI
• Providers in Park Falls, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.