Pine Ridge Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PINE RIDGE SURGERY CENTER, LLC

Practice address

2500 Pine Ridge Blvd
Wausau, WI 54401-0000

Phone

(970) 556-8744

NPI assigned

Aug 11, 2010

Last updated

Aug 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Reising, M.D.

Title

President

Phone

(715) 847-2022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Pine Ridge Surgery CenterCCN 52C0001092

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Aspirus Wausau Hospital, Inc.

  dba Aspirus Family Walk In

  • Clinic/Center
  • Wausau, WI
  • NPI 1558691832

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Theodore Sweet Jr., MD

  • Surgery Physician
  • Wausau, WI
  • NPI 1023229382
  NPD
• Chelsea Taylor Heisler, MD

  • Surgery Physician
  • Wausau, WI
  • NPI 1538651674
  NPD (past)
• Maggie Patricia Weix, NP

  • Nurse Practitioner
  • Wausau, WI
  • NPI 1982594388
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1669787958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544010000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544010000",
            "telephone_number": "970-556-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "REISING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-847-2022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise L Philipps
• Mya Ann Phillips
• Physiotherapy Associates Inc (NovaCare Rehabilitation)
• Phyt Rehab of Wisconsin, Inc.
• Sarah Piel, APNP
• Kristin Lynn Pinkert, COTA
• Rachel L. Place, RN
• Christopher S Platta, M.D.
• Rachel M Pleski, OTR
• Tiffany Pluger, PMHNP-BC

• Ambulatory Surgical Clinic/Center in Wausau, WI
• Providers in Wausau, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.