Susan C Brown, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3901 Stewart Ave
Wausau, WI 54401-3948

Phone

(715) 907-0900

Fax

(715) 803-6977

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1861446114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MCINDOE ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035022",
            "telephone_number": "414-530-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013948",
            "telephone_number": "715-907-0900",
            "fax_number": "715-803-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Westhill Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014707",
            "country_code": "US",
            "telephone_number": "715-847-2382",
            "fax_number": "715-847-2381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Vincent St",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544811842",
            "country_code": "US",
            "telephone_number": "715-847-2382",
            "fax_number": "715-847-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "1337",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.brown.1@16843.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3901 Stewart Ave",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544013948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Aaron Brown, M.D.
• Douglas R Brown, MD
• Kimberly A Brown, PA-C
• Kristen Joan Brown, LCSW
• Rania Mae Brown, CSAC
• Katie L Brueggen, MS, LMFT
• Angela Marie Brun, RN
• Breigha Brunett, CCC-SLP
• James V Bruno, MD
• Susan R Brust, PSYCH NP, CNS

• Physician Assistant in Wausau, WI
• Providers in Wausau, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.