Active NPI
Marshfield Clinic Inc
- Durable Medical Equipment & Medical Supplies
- Marshfield, WI
National Provider Identifier
1992023295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARSHFIELD CLINIC INC
- Practice address
- 630 S. Central Ave.
Suite 106
Marshfield, WI 54449-4196 - Phone
- (715) 389-5900
- NPI assigned
- May 11, 2010
- Organization subpart
- Yes
- Parent organization
- MARSHFIELD CLINIC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Thomas, MD
- Title
- Medical Director Reimbursement
- Phone
- (715) 387-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
630 S. Central Ave.
Suite 106
Marshfield, WI 54449-4196
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other names 1
- Marshfield Clinic Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064478 | WI | DME Supplier - Pharmacy | 2264345206 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marshfield, WI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Marshfield Clinic Rvrvw
Locations
630 S Central Ave
Ste 106
Marshfield, WI 54449
Phone (715) 389-5900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524528000000",
"number": "1992023295",
"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": "630 S. CENTRAL AVE.",
"address_2": "SUITE 106",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544494196",
"telephone_number": "715-389-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHFIELD CLINIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARSHFIELD CLINIC INC",
"enumeration_date": "2010-05-11",
"last_updated": "2018-04-24",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MEDICAL DIRECTOR REIMBURSEMENT",
"authorized_official_telephone_number": "715-387-5511",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marshfield Clinic Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marshfield Clinic Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.