Active NPI
Wausau Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Wausau, WI
National Provider Identifier
1851356786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41907700 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0879964 | Wausau Surgery Center | Certificate of waiver | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Wausau, WI
- NPI 1619965589
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.