Organization Active NPI

Marshfield Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Marshfield, WI
National Provider Identifier
1992023295
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.