Organization Active NPI

Marshfield Clinic

Doing business as Marshfield Clinic Wisconsin Rapids Orthopedic Center

  • Durable Medical Equipment & Medical Supplies
  • Wisconsin Rapids, WI
National Provider Identifier
1811267537
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHFIELD CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Dr. David J. Simenstad, MDNPI 1033217864
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32728400MedicaidWI

Other names 1

  • Marshfield Clinic Wisconsin Rapids Orthopedic Center Doing business as

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.

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.

Verify at the official NPI Registry.