Organization Active NPI

Aspirus Doctors Clinic

Doing business as Aspirus Doctors Clinic Cardiology Clinic Antigo

  • Clinic/Center
  • Antigo, WI
National Provider Identifier
1962711556
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASPIRUS DOCTORS CLINIC
Doing business as
Aspirus Doctors Clinic Cardiology Clinic Antigo
Practice address
501 Aurora St
Antigo, WI 54409-2721
Phone
(715) 623-2351
NPI assigned
Sep 29, 2010
Last updated
Sep 29, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS DOCTORS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Forrest Dean Danner Jr.
Title
VP/Coo
Phone
(715) 847-2975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

501 Aurora St
Antigo, WI 54409-2721

Mailing address

PO Box 8040
Wisconsin Rapids, WI 54495-8040
Phone (715) 423-0122

Other names 1

  • Aspirus Doctors Clinic Cardiology Clinic Antigo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Merrill Medical Center2 organizations share this tax ID, including this one
Part of
Merrill Medical Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1962711556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8040",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958040",
            "telephone_number": "715-423-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AURORA ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092721",
            "telephone_number": "715-623-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS DOCTORS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRUS DOCTORS CLINIC",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "715-847-2975",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Doctors Clinic Cardiology Clinic Antigo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.