Active NPI
Hyperbaric Associates SC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wausau, WI
National Provider Identifier
1659696029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- HYPERBARIC ASSOCIATES SC
- Practice address
- 333 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4120 - Phone
- (715) 847-2121
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Thomas Clancy, MD
- Title
- President
- Phone
- (715) 573-0760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
333 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4120
Mailing address
8001 Woodside LN
Wausau, WI 54401-8467
Phone (715) 573-0760
National Provider Directory
National Provider DirectoryLocations
333 Pine Ridge Blvd
Ste 300
Wausau, WI 54401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269820800000",
"number": "1659696029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 WOODSIDE LN",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544018467",
"telephone_number": "715-573-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"address_2": "SUITE 300",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014120",
"telephone_number": "715-847-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYPERBARIC ASSOCIATES SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A",
"authorized_official_last_name": "CLANCY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-573-0760",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"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 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.