Active NPI
Marshfield Clinic
- Durable Medical Equipment & Medical Supplies
- Wausau, WI
National Provider Identifier
1669551925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 CLINIC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.