Chippewa Valley Wound Care, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CHIPPEWA VALLEY WOUND CARE, LLC

Practice address

702 Bay St
Chippewa Falls, WI 54729-1810

Phone

(715) 944-7470

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Emily Jean Mason, MDNPI 1811196637

Title

Owner/Authorized Official

Phone

(715) 944-7470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily J Mason, M.D.

  • Emergency Medicine Physician
  • Chippewa Falls, WI
  • NPI 1811196637
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1750148771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BAY ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291810",
            "telephone_number": "715-944-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BAY ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291810",
            "telephone_number": "715-944-7470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Waldheim Rd",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547292012",
            "country_code": "US",
            "telephone_number": "715-559-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIPPEWA VALLEY WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "715-944-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chippewa Valley Health Cooperative
• Chippewa Valley Independent Psychiatry LLC
• Chippewa Valley Physical Therapy SC
• Chiro One Wellness Center of Chippewa Falls, LLC
• Thomas Patrick Chisholm, M.D.
• Courtney L Christensen, OTR
• Carolyn Christian, M.S., CCC-SLP
• Christman Dental, LTD

• Emergency Medicine Physician in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.