NPIMap

Organization Active NPI

Aspirus Wausau Hospital, Inc

Doing business as Aspirus Imaging - Westwood

  • Radiology Clinic/Center
  • Wausau, WI
National Provider Identifier
1780014407
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
188 Issued in WI
Legal business name
ASPIRUS WAUSAU HOSPITAL, INC
Doing business as
Aspirus Imaging - Westwood
Practice address
1901 Westwood Center Blvd
Wausau, WI 54401-2892
Phone
(715) 847-2472
NPI assigned
Nov 15, 2013
Last updated
Feb 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Authorized official

Name
Mr. Jerry M Yang
Title
SVP & Chief Financial Officer
Phone
(715) 847-2526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 188 WI Primary
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

1901 Westwood Center Blvd
Wausau, WI 54401-2892

Mailing address

29980 Network PL
Chicago, IL 60673-1299
Phone (715) 847-2304

Other practice location 1

3200 Westhill Dr
Wausau, WI 54401-4705
Phone (715) 847-0077

Other names 1

  • Aspirus Imaging - Westwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040114000297 WI Part B Supplier - Clinic/Group Practice 6406757442 Receives reassigned benefits from 687 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wausau, WI; Weston, WI; Wisconsin Rapids, WI; Woodruff, WI; Merrill, WI; Antigo, WI; Eagle River, WI; Marrathon, WI…
O20041111000135 WI Part A Provider - Hospital 6406757442 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weston, WI; Wausau, WI; Marathon, WI; Merrill, WI; Stevens Point, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780014407. Details of each certification follow.

Hospital certification: CCN 520030

Legal name
ASPIRUS WAUSAU HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1970
Last certification
Oct 6, 2005
Beds
321
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1982 in WI
Enrollment address
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Wausau HospitalCCN 520030 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Emergency Med22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Redman-Schell Individual W-2 Managing Employee Oct 1, 2019
Operational/Managerial Control Oct 1, 2019
Tou Shoua J Lor Individual Corporate DirectorBoard Member Sep 30, 2021
Jennifer Enman-Bourgon Individual Corporate DirectorBoard Member Aug 1, 2023
Marco Espinoza Individual Corporate DirectorBoard Member Sep 30, 2021
Michael a Umland Individual Corporate DirectorBoard Member Sep 30, 2022
Bryan Borrell Individual Corporate DirectorBoard Member Oct 1, 2022
Jeremy Lewitzke Individual Corporate DirectorBoard Member Sep 30, 2021
Kyle Page Individual Corporate DirectorBoard Member Sep 30, 2021
Aspirus, Inc Organization, Wausau, WI Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Operational/Managerial Control Jul 1, 2008 100%
Elizabeth a Renaker-Jansen Individual Corporate DirectorBoard Member Oct 1, 2022
Jeffrey Wicklander Individual W-2 Managing Employee Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Lori Peck Individual Corporate DirectorVP - System Finance Nov 1, 2018
W-2 Managing EmployeeVP- System Finance Nov 1, 2018
Operational/Managerial ControlVP- System Finance Nov 1, 2018
Tyler Hack Individual Corporate DirectorVP - System Revenue Cycle Feb 26, 2024
W-2 Managing EmployeeVP - System Revenue Cycle Feb 26, 2024
Operational/Managerial ControlVP - System Revenue Cycle Feb 26, 2024
Matthew F Heywood Individual Corporate OfficerCeo Jul 1, 2013
W-2 Managing EmployeeCeo Jul 31, 2013
Operational/Managerial ControlCeo Jul 31, 2013

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

Affiliated clinicians 832

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 832

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738972800000",
    "number": "1780014407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29980 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "715-847-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WESTWOOD CENTER BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012892",
            "telephone_number": "715-847-2472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Westhill Dr",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014705",
            "country_code": "US",
            "telephone_number": "715-847-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASPIRUS WAUSAU HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WI",
            "license": "188",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Imaging - Westwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.