Active NPI
Marshfield Clinic
Doing business as Marshfield Clinic Wisconsin Rapids Orthopedic Center
- Durable Medical Equipment & Medical Supplies
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARSHFIELD CLINIC
- Doing business as
- Marshfield Clinic Wisconsin Rapids Orthopedic Center
- Practice address
- 410 Dewey St
Riverview Medical Center - West Building
Wisconsin Rapids, WI 54495-8075 - Phone
- (715) 421-5257
- NPI assigned
- Jan 11, 2012
- Last updated
- Sep 28, 2012
- Organization subpart
- Yes
- Parent organization
- MARSHFIELD CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David J. Simenstad, MD
- Title
- Medical Director Reimbursement
- Phone
- (715) 387-5511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
410 Dewey St
Riverview Medical Center - West Building
Wisconsin Rapids, WI 54495-8075
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32728400 | Medicaid | WI |
Other names 1
- Marshfield Clinic Wisconsin Rapids Orthopedic Center
National Provider Directory
National Provider Directory- Part of
- Marshfield Clinic Lakel
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Surgery Physician
- Marshfield, WI
- NPI 1033217864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348790400000",
"number": "1811267537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 DEWEY ST",
"address_2": "RIVERVIEW MEDICAL CENTER - WEST BUILDING",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544958075",
"telephone_number": "715-421-5257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHFIELD CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARSHFIELD CLINIC",
"enumeration_date": "2012-01-11",
"last_updated": "2012-09-28",
"status": "A",
"authorized_official_last_name": "SIMENSTAD",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR REIMBURSEMENT",
"authorized_official_telephone_number": "715-387-5511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32728400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marshfield Clinic Wisconsin Rapids Orthopedic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.