Podiatry Associates of Wausau, S.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PODIATRY ASSOCIATES OF WAUSAU, S.C.

Practice address

1630 Chippewa Dr
Rhinelander, WI 54501-9503

Phone

(715) 362-6813

Fax

(715) 362-6813

NPI assigned

Mar 10, 2006

Last updated

Jun 29, 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

Michael E Jourdan, DPMNPI 1942294699

Title

President

Phone

(715) 675-2321

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Michael Ehrhardt Jourdan, D.P.M.

  • Podiatrist
  • Wausau, WI
  • NPI 1942294699
  Authorized official Same address or phone

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1720056146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012646",
            "telephone_number": "715-675-2321",
            "fax_number": "715-675-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CHIPPEWA DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019503",
            "telephone_number": "715-362-6813",
            "fax_number": "715-362-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF WAUSAU, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "JOURDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-675-2321",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0427710002",
            "identifier": "DME SUPPLIER #",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Center of Rhinelander, Inc.
• Julia Elizabeth Pickens, M.D.
• Stephanie Ann Pittman, ED.D.
• Bridget Plautz
• Jennifer Podeweltz, SAC-IT
• Dean M Pollnow, MD
• Charles Polzin, D.D.S.
• Kayla Michelle Poncek
• Theresa Jean Price-Decker, MS, LCSW
• Priority Medical Partners, SC

• Podiatrist in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.