Organization Active NPI

Marshfield Clinic

  • Durable Medical Equipment & Medical Supplies
  • Wausau, WI
National Provider Identifier
1669551925
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARSHFIELD CLINIC
Practice address
3500 Stewart Ave
Wausau, WI 54401-4919
Phone
(715) 841-4950
NPI assigned
Nov 6, 2006
Organization subpart
Yes
Parent organization
MARSHFIELD CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
David J Simenstad, MD
Title
Medical Director Reimbursement
Phone
(715) 387-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3500 Stewart Ave
Wausau, WI 54401-4919

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other names 1

  • Wausau Eye Center Doing business as

National Provider Directory

National Provider Directory
Part of
Marshfield Clinic Rvrvw

Locations

3500 Stewart Ave
Wausau, WI 54401
Phone (715) 841-4950

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1669551925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014919",
            "telephone_number": "715-841-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHFIELD CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SIMENSTAD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "715-387-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wausau Eye Center",
            "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 Feb 19, 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.