NPIMap

Organization Active NPI

Medical Associates of Neillsville LLC

  • Family Medicine Physician
  • Neillsville, WI
National Provider Identifier
1992148183
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49204 Issued in WI
Legal business name
MEDICAL ASSOCIATES OF NEILLSVILLE LLC
Practice address
1105 E Division St
Neillsville, WI 54456-2122
Phone
(715) 819-1044
Fax
(715) 819-1045
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Wendy Proffitt
Title
Practice Manager
Phone
(715) 819-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 49204 WI Primary

Addresses

Primary practice location

1105 E Division St
Neillsville, WI 54456-2122

Mailing address

1105 E Division St
Neillsville, WI 54456-2122
Phone (715) 819-1044

National Provider Directory

National Provider Directory

Locations

319 E La Salle Ave
Barron, WI 54812
Phone (715) 937-8500

1612 S Hastings Way
Eau Claire, WI 54701
Phone (715) 937-8500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1992148183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E DIVISION ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544562122",
            "telephone_number": "715-819-1044",
            "fax_number": "715-819-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E DIVISION ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544562122",
            "telephone_number": "715-819-1044",
            "fax_number": "715-819-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF NEILLSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "715-819-1044"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.