Pine Grove Family Practice Associates LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINE GROVE FAMILY PRACTICE ASSOCIATES LTD

Practice address

3221 Stein Blvd
Eau Claire, WI 54701-6930

Phone

(715) 834-2788

Fax

(715) 834-2845

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William R Hanson, DONPI 1801902069

Title

Physician Owner

Phone

(715) 834-2788

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R Hanson, DO

  • Family Medicine Physician
  • Eau Claire, WI
  • NPI 1801902069
  NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891869160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016930",
            "telephone_number": "715-834-2788",
            "fax_number": "715-834-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016930",
            "telephone_number": "715-834-2788",
            "fax_number": "715-834-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE GROVE FAMILY PRACTICE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "715-834-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30071900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel S Pierce, APNP
• Renae A Pierce, PT
• Yvonne Pierpont, MD
• Mary Joanne Pimblett, D.C.
• Pine Grove Family Practice Associates LTD
• Pine View Terrace, LLC Dba Dove Healthcare Transport
• Leila Lynn Pinter, NP
• Edward S Pisarcik Jr., PA-C
• Timothy James Pitchford, M.D.
• Collin John Pitts, M.D., MPH

• Family Medicine Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Family Medicine 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.