Individual provider Active NPI

Wanda Ann Dorzok, RN

  • Registered Nurse
  • Wausau, WI
National Provider Identifier
1730470857
Registry record updated Apr 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
127552 Issued in WI
Practice address
10407 Bittersweet Rd
Wausau, WI 54401-8497
Phone
(715) 355-2148
NPI assigned
Apr 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 127552 WI Primary

Addresses

Primary practice location

10407 Bittersweet Rd
Wausau, WI 54401-8497

Mailing address

10407 Bittersweet Rd
Wausau, WI 54401-8497
Phone (715) 355-2148

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
127552WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303516800000",
    "number": "1730470857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 BITTERSWEET RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544018497",
            "telephone_number": "715-355-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 BITTERSWEET RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544018497",
            "telephone_number": "715-355-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORZOK",
        "first_name": "WANDA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-23",
        "last_updated": "2011-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "127552",
            "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 Apr 23, 2011; 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.