Organization Active NPI

Aspirus Doctors Clinic

  • Clinic/Center
  • Wisconsin Rapids, WI
National Provider Identifier
1811080328
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS DOCTORS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21293000MedicaidWI

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

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.

Verify at the official NPI Registry.