Organization Active NPI

Wausau Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
National Provider Identifier
1851356786
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WAUSAU SURGERY CENTER LLC
Practice address
3801 Stewart Ave
Wausau, WI 54401-3961
Phone
(715) 842-4490
Fax
(715) 842-4645
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Carmel J Galster
Title
Administrator
Phone
(715) 842-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3801 Stewart Ave
Wausau, WI 54401-3961

Mailing address

3801 Stewart Ave
Wausau, WI 54401-3961
Phone (715) 842-4490

Other identifiers 1

IdentifierTypeStateIssuer
41907700MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cgalster@wausausurgery.com Direct
Direct Messaging Address cgalster@wausausurgery.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000153 WI Part B Supplier - Ambulatory Surgical Center 9739272840 Practice locations: Wausau, WI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wausau Surgery CenterCCN 52C0001021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0879964Wausau Surgery Center3801 Stewart Avenue, Wausau, WI 54401Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

3801 Stewart Ave
Wausau, WI 54401
Phone (715) 842-4490

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1851356786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013961",
            "telephone_number": "715-842-4490",
            "fax_number": "715-842-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013961",
            "telephone_number": "715-842-4490",
            "fax_number": "715-842-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUSAU SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GALSTER",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-842-4490"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41907700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgalster@wausausurgery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3801 Stewart Ave",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544013961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgalster@wausausurgery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3801 Stewart Ave",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544013961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.