The Plastic Surgery Group SC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

THE PLASTIC SURGERY GROUP SC

Practice address

425 Pine Ridge Blvd
Suite 205
Wausau, WI 54401

Phone

(715) 847-0444

Fax

(715) 847-0445

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Jill E Kinney-Horvat

Title

Administrator

Phone

(715) 847-0444

Specialties & licenses 1

Addresses

Other names 1

• North Central Wisconsin Plastic Surgery SC Former legal business name

Locations

Practitioners 1

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

• Jeffrey A Kurtz, MD

  • Plastic Surgery Physician
  • Wausau, WI
  • NPI 1013917079
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841306974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD",
            "address_2": "SUITE 205",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-847-0444",
            "fax_number": "715-847-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD",
            "address_2": "SUITE 205",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-847-0444",
            "fax_number": "715-847-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINNEY-HORVAT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-847-0444"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Wisconsin Plastic Surgery SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rebecca Thao
• Sy Thao
• The Bay at Colonial Manor Health and Rehabilitation LLC
• The Caring Tree LLC
• The Centre for Well-Being, Inc
• Katherine M Theiss, PTA
• Eric Thiel, MD
• Shannon Thielman, RN
• Craig B Thiessen, D.D.S., M.S.D.
• Thomas R Zentner PHD SC

• Plastic and Reconstructive Surgery Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Plastic and Reconstructive Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.