Anders V Juvonen, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

437-025 Issued in WI

Practice address

115 W Bridge St
Wausau, WI 54401-2929

Phone

(715) 842-4288

Fax

(715) 842-2162

NPI assigned

Jul 5, 2006

Last updated

Aug 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wausau Podiatry Center LTD

  • Podiatrist
  • Wausau, WI
  • NPI 1093963456
  Authorized official Same address or phone

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1669403101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W BRIDGE ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012929",
            "telephone_number": "715-842-4288",
            "fax_number": "715-842-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BRIDGE ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012929",
            "telephone_number": "715-842-4288",
            "fax_number": "715-842-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUVONEN",
        "first_name": "ANDERS",
        "middle_name": "V",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "437-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43241200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas K. Joseph, M.D.
• Jennifer Josiger, R.N.
• Michael Ehrhardt Jourdan, D.P.M.
• Ryan Ron Juarez, DPT,PT., A.T.C.
• Jessica L Juntunen, MD
• Lopa S Kabir Islam, MD
• Kathleen A. Kaczmarowski, NP
• Courtney Kaiser, RN
• Dakota J Kaiser, PHD
• Kali Kann, MPAS PA-C

• Podiatrist in Wausau, WI
• Providers in Wausau, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.