Urology Specialists of Wisconsin SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

UROLOGY SPECIALISTS OF WISCONSIN SC

Practice address

3300 Westhill Drive
Wausau, WI 54401

Phone

(715) 847-2605

Fax

(715) 847-2604

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Sue E Brudenell

Title

Executive Director

Phone

(715) 843-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah C Mutschlecner, APNP

  • Nurse Practitioner
  • Marshfield, WI
  • NPI 1831121680
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1831132018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WESTHILL DRIVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-847-2605",
            "fax_number": "715-847-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WESTHILL DRIVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-847-2605",
            "fax_number": "715-847-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "BRUDENELL",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-843-1112"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38859800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Taxi LLC
• University of Wisconsin Medical Foundation
• University of Wisconsin Medical Foundation, Inc
• University of Wisconsin System Non Payroll
• Elizabeth Jane Unrath, MA
• Minfang Utterback, RN
• Ann Marie Valentine, O.T.R.
• Alysia Van Boxtel
• Shelly Ann Van de Weerd, RN
• Bethany Van Dong, MS CCC-SLP

• Specialist in Wausau, WI
• Providers in Wausau, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.