NPIMap

Organization Active NPI

Aspirus Wausau Hospital Inc

Doing business as Aspirus Freeman Adult Health

  • Clinic/Center
  • Wausau, WI
National Provider Identifier
1821328105
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASPIRUS WAUSAU HOSPITAL INC
Doing business as
Aspirus Freeman Adult Health
Practice address
425 Pine Ridge Blvd
Suite 305B
Wausau, WI 54401-4123
Phone
(715) 847-2036
NPI assigned
Jan 8, 2010
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS WAUSAU HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

425 Pine Ridge Blvd
Suite 305B
Wausau, WI 54401-4123

Mailing address

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

Other names 1

  • Aspirus Freeman Adult Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

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…

Other NPIs on the same Medicare enrollment 32

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

View all 32

National Provider Directory

National Provider Directory
Part of
Aspirus Wausau Hospital

Practitioners & affiliated clinicians

Practitioners 3

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1821328105",
    "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",
            "fax_number": "715-843-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD",
            "address_2": "SUITE 305B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014123",
            "telephone_number": "715-847-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS WAUSAU HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRUS WAUSAU HOSPITAL INC",
        "enumeration_date": "2010-01-08",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "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"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Freeman Adult Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.