Active NPI
Aspirus Doctors Clinic
- Clinic/Center
- Wisconsin Rapids, WI
National Provider Identifier
1811080328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ASPIRUS DOCTORS CLINIC
- Practice address
- 420 Dewey Street
Wisconsin Rapids, WI 54494 - Phone
- (715) 423-0122
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 16, 2009
- Organization subpart
- Yes
- Parent organization
- ASPIRUS DOCTORS CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Forrest Dean Danner Jr.
- Title
- Director
- Phone
- (715) 847-2975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | WI | Primary |
Addresses
Primary practice location
420 Dewey Street
Wisconsin Rapids, WI 54494
Mailing address
PO Box 8040
Wisconsin Rapids, WI 54495-8040
Phone (715) 423-0122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21293000 | Medicaid | WI |
National Provider Directory
National Provider Directory- Part of
- Merrill Medical Center
Locations
419 N Oak St
Adams, WI 53910
Phone (608) 339-5250
146 N Central Ave
Marshfield, WI 54449
Phone (715) 305-6908
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247702400000",
"number": "1811080328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8040",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544958040",
"telephone_number": "715-423-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DEWEY STREET",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "54494",
"telephone_number": "715-423-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRUS DOCTORS CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASPIRUS DOCTORS CLINIC",
"enumeration_date": "2006-10-02",
"last_updated": "2009-07-16",
"status": "A",
"authorized_official_last_name": "DANNER",
"authorized_official_first_name": "FORREST",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "715-847-2975",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21293000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
- Kristy L Apuakehau, OTR
- Carolyn K Ashbeck, PT
- Christopher M Ashbeck, DPT, OCS
- Jillian Marie Ashbeck, NP-C
- Aspirus Doctors Clinic (Aspirus Doctors Clinic Hospitalists)
- Aspirus Doctors Clinic, Inc. (Aspirus Doctors Clinic Walk In Clinic)
- Aspirus Riverview Hospital & Clinics, Inc. (Aspirus Wisconsin Rapids Clinic-Peach St)
- Aspirus Riverview Hospital & Clinics, Inc. (Aspirus Outpatient Therapies - Wisconsin Rapids)
- Aspirus Riverview Hospital & Clinics, Inc. (Aspirus Wisconsin Rapids Hospital - Emergency)
- Aspirus Riverview Hospital & Clinics, Inc. (Aspirus Wisconsin Rapids Clinic-Dewey St)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.