NPIMap

Individual provider Active NPI

Patcharin Tanawattanacharoen, MD

  • Hematology & Oncology Physician
  • Eau Claire, WI
National Provider Identifier
1942300272
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
42821 Issued in WI
Practice address
2200 Craig Rd
Eau Claire, WI 54701-2699
Phone
(715) 858-6767
NPI assigned
Sep 25, 2006
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42821 WI
Hematology & Oncology Physician 207RH0003X 42821 WI Primary

Addresses

Primary practice location

2200 Craig Rd
Eau Claire, WI 54701-2699

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 839-3956

Other identifiers 1

IdentifierTypeStateIssuer
34059600MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824001041 WI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9436180957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

2310 Craig Rd
Eau Claire, WI 54701-6128
Phone (715) 858-8100

2655 County Hwy I
Chippewa Falls, WI 54729-1423
Phone (715) 726-4200

2727 Plaza Dr
Marshfield, WI 54449-5703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42821WIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 7, 2018 Accepting new patients
MCHS Hospitals Inc Internal Medicine Current Accepting new patients
MCHS Hospitals, Inc. CurrentSince Mar 5, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 5, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 3, 2001 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

2655 County Highway I
Chippewa Fls, WI 54729
Phone (715) 723-8827

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

2200 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4610

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

906 College Ave W
Ladysmith, WI 54848
Phone (715) 532-2300

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1020 Lakeshore Dr
Rice Lake, WI 54868
Phone (715) 236-8100

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: patcharin.tanawattanacharoen@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1942300272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CRAIG RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012699",
            "telephone_number": "715-858-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "715-839-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANAWATTANACHAROEN",
        "first_name": "PATCHARIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "42821",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "42821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34059600",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2200 Craig Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547012699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.