Active NPI
Anita Kaye Bublik-Anderson, M.D.
- Obstetrics & Gynecology Physician
- Wausau, WI
National Provider Identifier
1720015571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 53016-20
- Practice address
- 2720 Plaza Dr
Suite 2100
Wausau, WI 54401-4158 - Phone
- (715) 847-2475
- Fax
- (715) 843-1482
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 53016-20 | WI | Primary |
Addresses
Primary practice location
2720 Plaza Dr
Suite 2100
Wausau, WI 54401-4158
Mailing address
2720 Plaza Dr
Suite 2100
Wausau, WI 54401-4158
Phone (715) 847-2475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53016-20 | WI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1720015571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 PLAZA DR",
"address_2": "SUITE 2100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014158",
"telephone_number": "715-847-2475",
"fax_number": "715-843-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 PLAZA DR",
"address_2": "SUITE 2100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014158",
"telephone_number": "715-847-2475",
"fax_number": "715-843-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUBLIK-ANDERSON",
"first_name": "ANITA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "53016-20",
"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 Nov 23, 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.