NPIMap

Individual provider Active NPI

Aaron C Wanish, PA-C

  • Physician Assistant
  • Wausau, WI
National Provider Identifier
1720044340
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3845-23 Issued in WI
Practice address
225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone
(715) 359-6442
Fax
(715) 393-0390
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3845-23 WI Primary

Addresses

Primary practice location

225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950

Mailing address

225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone (715) 359-6442

Other practice location 1

216 Sunset Pl
Neillsville, WI 54456-1706
Phone (715) 743-3101

Other practice location 2

3085 Meadowlark Ln Ste 20
Altoona, WI 54720-2656
Phone (715) 717-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922002484 WI Practitioner - Physician Assistant 1153618814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Clinic S.C.Group PAC ID 3678541919, 45 clinicians

Practice addresses (Care Compare)

100 S Eagle Dr
Merrill, WI 54452-3716
Phone (715) 536-7181

1767 Park Ave
Suite 100
Plover, WI 54467-4301
Phone (800) 445-6442

225000 Hummingbird Rd
Suite 100
Wausau, WI 54401-2950
Phone (715) 359-6442

724 S 8TH St
Medford, WI 54451-2001
Phone (715) 748-2663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Clinic S.C. CurrentSince Feb 17, 2020 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 17, 2016 Accepting new patients
Bone & Joint Clinic S.C. CurrentSince Feb 17, 2020 Accepting new patients

Locations

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

724 S 8th St
Medford, WI 54451
Phone (715) 748-2663

100 S Eagle Dr
Merrill, WI 54452
Phone (715) 358-1911

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1767 Park Ave
#100
Plover, WI 54467
Phone (715) 344-1260

225000 Hummingbird Rd
Ste 100
Rib Mountain, WI 54401
Phone 71535964421615

400 Westwood Dr
#100
Wausau, WI 54401
Phone (715) 393-0372

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1720044340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225000 HUMMINGBIRD RD STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012950",
            "telephone_number": "715-359-6442",
            "fax_number": "715-393-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225000 HUMMINGBIRD RD STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012950",
            "telephone_number": "715-359-6442",
            "fax_number": "715-393-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Sunset Pl",
            "address_purpose": "LOCATION",
            "city": "Neillsville",
            "state": "WI",
            "postal_code": "544561706",
            "country_code": "US",
            "telephone_number": "715-743-3101",
            "fax_number": "715-743-6242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3085 Meadowlark Ln Ste 20",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "WI",
            "postal_code": "547202656",
            "country_code": "US",
            "telephone_number": "715-717-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANISH",
        "first_name": "AARON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3845-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.