Organization Active NPI

Throm Health and Wellness

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1861832743
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4621-012 Issued in WI
Legal business name
THROM HEALTH AND WELLNESS
Doing business as
Wausau Community Chiropractic
Practice address
605 S 24TH Ave
Suite 46
Wausau, WI 54401-1705
Phone
(715) 301-1123
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Peter Allen Throm, D.C.
Title
General Partner
Phone
(715) 301-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4621-012 WI Primary

Addresses

Primary practice location

605 S 24TH Ave
Suite 46
Wausau, WI 54401-1705

Mailing address

605 S 24TH Ave
Suite 46
Wausau, WI 54401-1705
Phone (715) 301-1123

Other names 1

  • Wausau Community Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000662 WI Part B Supplier - Clinic/Group Practice 8729221767 Receives reassigned benefits from 3 practitioners
Practice locations: Wausau, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1861832743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S 24TH AVE",
            "address_2": "SUITE 46",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011705",
            "telephone_number": "715-301-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S 24TH AVE",
            "address_2": "SUITE 46",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011705",
            "telephone_number": "715-301-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THROM HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "THROM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "715-301-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4621-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wausau Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.