| Ascension Medical Group | |
|
1901 Westwood Center Blvd Wausau WI 54401-2892 | |
| (715) 355-9775 | |
| Not Available |
| Full Name | Ascension Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1901 Westwood Center Blvd, Wausau, Wisconsin |
| Authorized Official Name and Position | Lori Peck (VP-REVENUE CYCLE) |
| Authorized Official Contact | 7158472988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Group 1901 Westwood Center Blvd Wausau WI 54401-2892 Ph: (715) 355-9775 | Ascension Medical Group 1901 Westwood Center Blvd Wausau WI 54401-2892 Ph: (715) 355-9775 |
| NPI Number | 1265507537 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 10/19/2021 |
| Medicare PECOS PAC ID | 8426960022 |
|---|---|
| Medicare Enrollment ID | O20031103000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265507537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kshamata Shalini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023099306 PECOS PAC ID: 0840196036 Enrollment ID: I20031209000630 |
| Provider Name | Debra L Baumann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023022241 PECOS PAC ID: 5597651422 Enrollment ID: I20040226000364 |
| Provider Name | Haleem J Rasool |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790766392 PECOS PAC ID: 2961495114 Enrollment ID: I20040405001266 |
| Provider Name | Jodi M Glodowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710036330 PECOS PAC ID: 8325027345 Enrollment ID: I20040804000215 |
| Provider Name | Theodore J Shinners |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902981160 PECOS PAC ID: 9931173598 Enrollment ID: I20040820000643 |
| Provider Name | Matthew C Hall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023126174 PECOS PAC ID: 0446212534 Enrollment ID: I20041101000706 |
| Provider Name | Dawn E Baker |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992889620 PECOS PAC ID: 7012970569 Enrollment ID: I20041105000891 |
| Provider Name | Douglas M Grube |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760420558 PECOS PAC ID: 7113983966 Enrollment ID: I20041203000586 |
| Provider Name | James W Burhop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063492593 PECOS PAC ID: 9335107143 Enrollment ID: I20041230000671 |
| Provider Name | Fadi Alsous |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710990726 PECOS PAC ID: 7214995570 Enrollment ID: I20050103000802 |
| Provider Name | Gilberto Cantu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437157831 PECOS PAC ID: 4082671136 Enrollment ID: I20050127000873 |
| Provider Name | John S Oglesby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245385962 PECOS PAC ID: 2365493558 Enrollment ID: I20050204000372 |
| Provider Name | Craig Steven Zastrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407835903 PECOS PAC ID: 7911959507 Enrollment ID: I20050211000163 |
| Provider Name | John E Almquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104810118 PECOS PAC ID: 9133174642 Enrollment ID: I20050317000587 |
| Provider Name | Glenn B Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891796553 PECOS PAC ID: 0547215774 Enrollment ID: I20050321000436 |
| Provider Name | Walter G Kao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457328940 PECOS PAC ID: 4981662350 Enrollment ID: I20050330000756 |
| Provider Name | David I Kinsman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912942368 PECOS PAC ID: 0648218347 Enrollment ID: I20050422000482 |
| Provider Name | Yoseph Shalev |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821065467 PECOS PAC ID: 6507750429 Enrollment ID: I20050613000817 |
| Provider Name | Andrew R Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376563361 PECOS PAC ID: 4486690187 Enrollment ID: I20050705000298 |
| Provider Name | Eromi S Jayasingha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588681522 PECOS PAC ID: 8729014337 Enrollment ID: I20050714001018 |
| Provider Name | Dane J Harder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215974977 PECOS PAC ID: 9739118605 Enrollment ID: I20050810001134 |
| Provider Name | Beth E Schmelling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811965767 PECOS PAC ID: 5496780793 Enrollment ID: I20051005000275 |
| Provider Name | Tammery M Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104838127 PECOS PAC ID: 0840215562 Enrollment ID: I20051012000337 |
| Provider Name | Karen M Teter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326087693 PECOS PAC ID: 6901823285 Enrollment ID: I20051026000409 |
| Provider Name | Steven R Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861576597 PECOS PAC ID: 1759308034 Enrollment ID: I20051026000496 |
| Provider Name | Rezwan Islam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154417145 PECOS PAC ID: 0143249037 Enrollment ID: I20051121000673 |
| Provider Name | Gregory T Gilles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376500082 PECOS PAC ID: 0547282543 Enrollment ID: I20051219000591 |
| Provider Name | Nicole A Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932151412 PECOS PAC ID: 3971525973 Enrollment ID: I20051219000612 |
| Provider Name | Jason Hanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013957752 PECOS PAC ID: 6103848106 Enrollment ID: I20051219000643 |
| Provider Name | Jerzy B Sikora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356398473 PECOS PAC ID: 4981626991 Enrollment ID: I20051219000676 |
| Provider Name | Jeffrey P Blise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821051657 PECOS PAC ID: 3779507918 Enrollment ID: I20060116000091 |
| Provider Name | Michelle L Henrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205882990 PECOS PAC ID: 3577587690 Enrollment ID: I20060117000325 |
| Provider Name | Ann E Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073559639 PECOS PAC ID: 2668496787 Enrollment ID: I20060117000335 |
| Provider Name | Helen M Luce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225064413 PECOS PAC ID: 4688689938 Enrollment ID: I20060208000392 |
| Provider Name | Nicolaus A Schermer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730175480 PECOS PAC ID: 9436114428 Enrollment ID: I20060213000103 |
| Provider Name | Audrey C Kast |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811929268 PECOS PAC ID: 4880602010 Enrollment ID: I20060330000253 |
| Provider Name | Joseph Charles Battista |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316908874 PECOS PAC ID: 6507878592 Enrollment ID: I20060612000017 |
| Provider Name | John R Westberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255302337 PECOS PAC ID: 9032108378 Enrollment ID: I20060710000061 |
| Provider Name | Timothy P Ripple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033161856 PECOS PAC ID: 7416950498 Enrollment ID: I20060811000163 |
| Provider Name | Shana M Gliniecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730112814 PECOS PAC ID: 0042214470 Enrollment ID: I20060828000072 |
| Provider Name | Kay M Shawbitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669491510 PECOS PAC ID: 8022012731 Enrollment ID: I20060912000420 |
| Provider Name | Bridget S Huenink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595249 PECOS PAC ID: 1456350073 Enrollment ID: I20061208000479 |
| Provider Name | Erin E Verkerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477612794 PECOS PAC ID: 4789785114 Enrollment ID: I20070728000238 |
| Provider Name | Rebecca K Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255426920 PECOS PAC ID: 1355434390 Enrollment ID: I20070919000902 |
| Provider Name | Tina K Neuendank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740385707 PECOS PAC ID: 3577650621 Enrollment ID: I20071106000444 |
| Provider Name | Bradley J Boettcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295906675 PECOS PAC ID: 9830269588 Enrollment ID: I20080606000187 |
| Provider Name | Mohammad K Khedr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427051705 PECOS PAC ID: 5496731341 Enrollment ID: I20080826000562 |
| Provider Name | Diane L Tatrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588826689 PECOS PAC ID: 2163590977 Enrollment ID: I20081007000437 |
| Provider Name | Maria C Dziamski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639158298 PECOS PAC ID: 6204820251 Enrollment ID: I20081015000563 |
| Provider Name | Oluwakunle Oluwatosin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396912796 PECOS PAC ID: 1557439262 Enrollment ID: I20081023000761 |
| Provider Name | Rovena L Kessinger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811092877 PECOS PAC ID: 0547322240 Enrollment ID: I20081213000273 |
| Provider Name | Eric D Barnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487639555 PECOS PAC ID: 2365506284 Enrollment ID: I20090121000464 |
| Provider Name | Anthony J Rutkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740223445 PECOS PAC ID: 0042374597 Enrollment ID: I20090127000654 |
| Provider Name | Cheryl L Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891931440 PECOS PAC ID: 6901963172 Enrollment ID: I20090316000592 |
| Provider Name | John L Waciuma |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194797407 PECOS PAC ID: 5799874616 Enrollment ID: I20090803000618 |
| Provider Name | Thomas A Klinkhammer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851479067 PECOS PAC ID: 7517969728 Enrollment ID: I20090904000363 |
| Provider Name | Ann M Chizek Liermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780696542 PECOS PAC ID: 9436299872 Enrollment ID: I20091216000417 |
| Provider Name | Jonathan Currie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477743649 PECOS PAC ID: 1557406279 Enrollment ID: I20100305000685 |
| Provider Name | Douglas J Reding |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760582076 PECOS PAC ID: 8123065059 Enrollment ID: I20100604000921 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Ann L Fullington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154356954 PECOS PAC ID: 6305977109 Enrollment ID: I20100623000067 |
| Provider Name | Daniel E Tvedten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003979030 PECOS PAC ID: 5294701496 Enrollment ID: I20100624000030 |
| Provider Name | William R. Padgett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982767919 PECOS PAC ID: 3678520418 Enrollment ID: I20100624000122 |
| Provider Name | Kent J Lowry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396808325 PECOS PAC ID: 8123075967 Enrollment ID: I20100624000202 |
| Provider Name | Jason Heese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093860132 PECOS PAC ID: 7618009945 Enrollment ID: I20100721000700 |
| Provider Name | Sabine J Hale |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982737904 PECOS PAC ID: 1355473620 Enrollment ID: I20100722000137 |
| Provider Name | Dennis Mcfadden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184758237 PECOS PAC ID: 2961580717 Enrollment ID: I20101004000991 |
| Provider Name | Dana D Doll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255545695 PECOS PAC ID: 0749310266 Enrollment ID: I20101011000309 |
| Provider Name | Ruth Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659518199 PECOS PAC ID: 9234322900 Enrollment ID: I20101026000991 |
| Provider Name | Tina M Schulist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689994196 PECOS PAC ID: 1355539578 Enrollment ID: I20110103000417 |
| Provider Name | Gina E Ramthun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033428271 PECOS PAC ID: 1355521402 Enrollment ID: I20110208000307 |
| Provider Name | Heidi L Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386954733 PECOS PAC ID: 5698958346 Enrollment ID: I20110318000098 |
| Provider Name | Navid A Majid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225327828 PECOS PAC ID: 9931386406 Enrollment ID: I20110609000346 |
| Provider Name | Robert W Sedlacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003072687 PECOS PAC ID: 3173792579 Enrollment ID: I20110801000376 |
| Provider Name | Daniel S Skeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487942694 PECOS PAC ID: 6608046404 Enrollment ID: I20110906000343 |
| Provider Name | James David Hall |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972693018 PECOS PAC ID: 8527961648 Enrollment ID: I20111026000828 |
| Provider Name | Carolyn M Hedrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386928471 PECOS PAC ID: 4385817550 Enrollment ID: I20111103000308 |
| Provider Name | Melissa J Aebly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811152739 PECOS PAC ID: 0244494367 Enrollment ID: I20120620000758 |
| Provider Name | Richard E Minnihan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104055854 PECOS PAC ID: 7517113210 Enrollment ID: I20120813000545 |
| Provider Name | Anthony C Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669695805 PECOS PAC ID: 8123274644 Enrollment ID: I20120815000526 |
| Provider Name | Vimarsh Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20120815000587 |
| Provider Name | Tarundeep Kaur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326161076 PECOS PAC ID: 2062694870 Enrollment ID: I20120911000803 |
| Provider Name | Michael T Landis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558624908 PECOS PAC ID: 2668621731 Enrollment ID: I20121004000573 |
| Provider Name | Carl M Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003971490 PECOS PAC ID: 6002700820 Enrollment ID: I20130322000205 |
| Provider Name | Deborah J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972843464 PECOS PAC ID: 4587720255 Enrollment ID: I20130515000184 |
| Provider Name | Michael E Zevitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871543843 PECOS PAC ID: 4183602451 Enrollment ID: I20130604000929 |
| Provider Name | Olga Barchugova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750562617 PECOS PAC ID: 2567658388 Enrollment ID: I20130709000716 |
| Provider Name | Muhammad T Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366790719 PECOS PAC ID: 1850532383 Enrollment ID: I20130726000071 |
| Provider Name | Mikhail A Barchugov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952614521 PECOS PAC ID: 0749421923 Enrollment ID: I20130731000191 |
| Provider Name | Michael W Trenkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184069817 PECOS PAC ID: 2961643028 Enrollment ID: I20130801000327 |
| Provider Name | Amelia L Zellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724520 PECOS PAC ID: 1658505722 Enrollment ID: I20131002000566 |
| Provider Name | Erika Lubsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306174255 PECOS PAC ID: 1153556600 Enrollment ID: I20131108001445 |
| Provider Name | Andrew J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790108793 PECOS PAC ID: 7810127644 Enrollment ID: I20140224000353 |
| Provider Name | Brett J Longlais |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588975734 PECOS PAC ID: 6204054059 Enrollment ID: I20140820001605 |
| Provider Name | Kimberly Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407148042 PECOS PAC ID: 3971723487 Enrollment ID: I20141006001155 |
| Provider Name | Luke E Menet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588063390 PECOS PAC ID: 4183940935 Enrollment ID: I20150313000968 |
| Provider Name | Olumuyiwa O Adeboye |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720261407 PECOS PAC ID: 6002950466 Enrollment ID: I20150403000743 |
| Provider Name | Cheryl L Montag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316341688 PECOS PAC ID: 1456679356 Enrollment ID: I20150403000795 |
| Provider Name | Charan Mungara |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1649423872 PECOS PAC ID: 9537339411 Enrollment ID: I20150420002267 |
| Provider Name | Geoffrey Douglas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346456399 PECOS PAC ID: 0648494641 Enrollment ID: I20150422001001 |
| Provider Name | Stephen M Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351800 PECOS PAC ID: 9739492083 Enrollment ID: I20150716000893 |
| Provider Name | Monica Jacobus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144457250 PECOS PAC ID: 9234388109 Enrollment ID: I20151013001620 |
| Provider Name | Jean Hilaire Vincent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841506870 PECOS PAC ID: 9335440874 Enrollment ID: I20151229000562 |
| Provider Name | Lennet Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821394321 PECOS PAC ID: 4385960418 Enrollment ID: I20160212000950 |
| Provider Name | Samantha L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853622 PECOS PAC ID: 3375850951 Enrollment ID: I20160314001774 |
| Provider Name | Pamela L Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393905 PECOS PAC ID: 1456658962 Enrollment ID: I20160329001380 |
| Provider Name | Melissa A Koengeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467813857 PECOS PAC ID: 6507164100 Enrollment ID: I20160415000165 |
| Provider Name | Branden J Kooiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295189686 PECOS PAC ID: 0840589479 Enrollment ID: I20160520000236 |
| Provider Name | Colleen L Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861849820 PECOS PAC ID: 0244520617 Enrollment ID: I20160526001715 |
| Provider Name | Marwan M Dib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225346414 PECOS PAC ID: 7810147899 Enrollment ID: I20160621000772 |
| Provider Name | Gregory Wayne Grzesik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316389372 PECOS PAC ID: 2961706643 Enrollment ID: I20160705002027 |
| Provider Name | Ryan W Berg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073803391 PECOS PAC ID: 1052630589 Enrollment ID: I20160706000290 |
| Provider Name | Jesse Moskowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619131125 PECOS PAC ID: 2567537954 Enrollment ID: I20160809000267 |
| Provider Name | Muhammad S Akhtar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336384460 PECOS PAC ID: 2466775176 Enrollment ID: I20160810002139 |
| Provider Name | Tiffany J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114378817 PECOS PAC ID: 0840585386 Enrollment ID: I20160823003201 |
| Provider Name | Mohamed Abdulcadir Abdullahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437475431 PECOS PAC ID: 8921227208 Enrollment ID: I20160826001178 |
| Provider Name | Srikanth Padma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952502429 PECOS PAC ID: 1658458641 Enrollment ID: I20160927000005 |
| Provider Name | Suleman Akbar Umar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568789485 PECOS PAC ID: 1456649102 Enrollment ID: I20161012000580 |
| Provider Name | Herbert A Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781889 PECOS PAC ID: 6305124462 Enrollment ID: I20161025002406 |
| Provider Name | Lindsey I Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154576189 PECOS PAC ID: 1355622010 Enrollment ID: I20170111003234 |
| Provider Name | Josh J Pallen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629195771 PECOS PAC ID: 8022391564 Enrollment ID: I20170208001010 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730341850 PECOS PAC ID: 4486938099 Enrollment ID: I20170227002213 |
| Provider Name | Elson T Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144510389 PECOS PAC ID: 5799958278 Enrollment ID: I20170328002103 |
| Provider Name | Pierce C Park |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477607638 PECOS PAC ID: 5496802118 Enrollment ID: I20170328002282 |
| Provider Name | Harsha V Poola |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801174354 PECOS PAC ID: 2163727447 Enrollment ID: I20170616001504 |
| Provider Name | Ragesh Govindan Nair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912349861 PECOS PAC ID: 2567731003 Enrollment ID: I20170627001244 |
| Provider Name | Adarsh R Kancharla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932413259 PECOS PAC ID: 8224272018 Enrollment ID: I20170705000888 |
| Provider Name | Natasha Vanchinathan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588900161 PECOS PAC ID: 7012288491 Enrollment ID: I20170803000276 |
| Provider Name | Michele D Rocke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316728 PECOS PAC ID: 0547531337 Enrollment ID: I20170814001328 |
| Provider Name | Charanjeet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891109542 PECOS PAC ID: 9537468285 Enrollment ID: I20170821001370 |
| Provider Name | Christian A Flanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013321660 PECOS PAC ID: 9638391014 Enrollment ID: I20170822003257 |
| Provider Name | Paul D Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629509740 PECOS PAC ID: 1759654445 Enrollment ID: I20170831000490 |
| Provider Name | Kevin J Townshend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366869315 PECOS PAC ID: 7618241613 Enrollment ID: I20170914000725 |
| Provider Name | Vijay Vanchinathan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225473416 PECOS PAC ID: 9335413848 Enrollment ID: I20170922000322 |
| Provider Name | Ever Luizaga Coca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164661500 PECOS PAC ID: 9931255783 Enrollment ID: I20180112002528 |
| Provider Name | Howard Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639168560 PECOS PAC ID: 3678557337 Enrollment ID: I20180116001363 |
| Provider Name | Udaya Shreesha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093762213 PECOS PAC ID: 6204866163 Enrollment ID: I20180117000944 |
| Provider Name | Forrest Swan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841284429 PECOS PAC ID: 6507758141 Enrollment ID: I20180129002078 |
| Provider Name | Erin M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645193 PECOS PAC ID: 2163783416 Enrollment ID: I20180228002387 |
| Provider Name | Kristen A Klabacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790117992 PECOS PAC ID: 4082858725 Enrollment ID: I20180509002257 |
| Provider Name | Timothy M Burandt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336156603 PECOS PAC ID: 0941106538 Enrollment ID: I20180523000963 |
| Provider Name | Colleen A Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003313230 PECOS PAC ID: 9436414802 Enrollment ID: I20180606000838 |
| Provider Name | Bradley T Kook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881037836 PECOS PAC ID: 5294038147 Enrollment ID: I20180711000944 |
| Provider Name | Benjamin D Brusch |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760822001 PECOS PAC ID: 1759638174 Enrollment ID: I20180717001316 |
| Provider Name | Ryley Ruzek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124514377 PECOS PAC ID: 4183973837 Enrollment ID: I20180814002471 |
| Provider Name | Sean Huff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679954614 PECOS PAC ID: 4688924038 Enrollment ID: I20180905001560 |
| Provider Name | Sarmad Chaudhry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568676245 PECOS PAC ID: 0648347625 Enrollment ID: I20181012002220 |
| Provider Name | Akil Hassam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700198975 PECOS PAC ID: 4486998119 Enrollment ID: I20181207001575 |
| Provider Name | Robert P Lynch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336219476 PECOS PAC ID: 1759375710 Enrollment ID: I20181213000355 |
| Provider Name | Emmanuel Rutaremwa Kwesiga |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1639424948 PECOS PAC ID: 1052694544 Enrollment ID: I20181218003349 |
| Provider Name | Shakil Karim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720039019 PECOS PAC ID: 0446201974 Enrollment ID: I20181219000909 |
| Provider Name | Tanya M Schaer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174640791 PECOS PAC ID: 6103162664 Enrollment ID: I20190104001198 |
| Provider Name | Cynthia Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366437998 PECOS PAC ID: 2860482122 Enrollment ID: I20190131001384 |
| Provider Name | Christopher Clancy |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427214790 PECOS PAC ID: 4385969864 Enrollment ID: I20190201001541 |
| Provider Name | Van De Bruyn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871518522 PECOS PAC ID: 0446159966 Enrollment ID: I20190207002894 |
| Provider Name | Malvinder S Makhni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790729697 PECOS PAC ID: 4486781655 Enrollment ID: I20190214000567 |
| Provider Name | Stephen Vanwylen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437115565 PECOS PAC ID: 1850336272 Enrollment ID: I20190226000233 |
| Provider Name | Dessia J Laxton-reinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013454164 PECOS PAC ID: 9739440827 Enrollment ID: I20190422001074 |
| Provider Name | Amanda Marie Baright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598971772 PECOS PAC ID: 6901077841 Enrollment ID: I20190509002108 |
| Provider Name | Francis Kwarteng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851551923 PECOS PAC ID: 1052470705 Enrollment ID: I20190510000143 |
| Provider Name | Michelle L Whitehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090169 PECOS PAC ID: 7911240924 Enrollment ID: I20190515000019 |
| Provider Name | Elizabeth Nicole Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821556424 PECOS PAC ID: 4880937838 Enrollment ID: I20190515001856 |
| Provider Name | Rakesh R Chawla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023082278 PECOS PAC ID: 6002703188 Enrollment ID: I20190524000421 |
| Provider Name | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20190531000002 |
| Provider Name | Lindita Coku |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134394745 PECOS PAC ID: 9830356963 Enrollment ID: I20190618000566 |
| Provider Name | Lynnette M. Valentijn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275524175 PECOS PAC ID: 6406088954 Enrollment ID: I20190626000532 |
| Provider Name | Khurram Nazir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619261252 PECOS PAC ID: 1951615871 Enrollment ID: I20190729001665 |
| Provider Name | Noah L Wride |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457766982 PECOS PAC ID: 1153630843 Enrollment ID: I20190808002981 |
| Provider Name | Velisar L Rill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659363141 PECOS PAC ID: 7618865999 Enrollment ID: I20190829000000 |
| Provider Name | Joseph Mccracken |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023022365 PECOS PAC ID: 7911004676 Enrollment ID: I20190918003193 |
| Provider Name | Paul Oneill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548262611 PECOS PAC ID: 1456430891 Enrollment ID: I20190918003285 |
| Provider Name | Chibuzor N Ihe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801315668 PECOS PAC ID: 5193055085 Enrollment ID: I20190918003638 |
| Provider Name | Jackie Marie Rietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326691254 PECOS PAC ID: 1254661747 Enrollment ID: I20190926000372 |
| Provider Name | Maykong C Leepalao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033559588 PECOS PAC ID: 8729200886 Enrollment ID: I20191010002729 |
| Provider Name | Elizabeth A Renaker-jansen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427204965 PECOS PAC ID: 4082745013 Enrollment ID: I20191021002085 |
| Provider Name | Calla J Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417599804 PECOS PAC ID: 5698107613 Enrollment ID: I20191113002019 |
| Provider Name | Erik Gunderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093758567 PECOS PAC ID: 6406826254 Enrollment ID: I20191118002370 |
| Provider Name | Mehmet Cilingiroglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710922125 PECOS PAC ID: 8022036110 Enrollment ID: I20191119001908 |
| Provider Name | Judith E Ritholz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043247042 PECOS PAC ID: 4284683426 Enrollment ID: I20191119002806 |
| Provider Name | Paulraj O Samuel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033360748 PECOS PAC ID: 2769535814 Enrollment ID: I20191120000222 |
| Provider Name | Thomas C Isaacson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104884311 PECOS PAC ID: 9335156462 Enrollment ID: I20191125002816 |
| Provider Name | Ali Ao Mohamed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144489287 PECOS PAC ID: 2860621240 Enrollment ID: I20200102001349 |
| Provider Name | Jennifer A Naiser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114074135 PECOS PAC ID: 2769581040 Enrollment ID: I20200117001411 |
| Provider Name | Richard H Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811023625 PECOS PAC ID: 9335307172 Enrollment ID: I20200509000238 |
| Provider Name | Karen Patterson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225060767 PECOS PAC ID: 6204834013 Enrollment ID: I20200521001038 |
| Provider Name | Ford Strimenos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417481383 PECOS PAC ID: 4183988454 Enrollment ID: I20200601000600 |
| Provider Name | Sonal Chandratre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780968180 PECOS PAC ID: 3779904313 Enrollment ID: I20200605002007 |
| Provider Name | Adam Tod Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890003 PECOS PAC ID: 3779901764 Enrollment ID: I20200908001109 |
| Provider Name | Gregory P Harbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679558290 PECOS PAC ID: 5294889028 Enrollment ID: I20200910000082 |
| Provider Name | Susan Acuna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720030893 PECOS PAC ID: 8527056340 Enrollment ID: I20200922002401 |
| Provider Name | Heidi Warmbold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285886531 PECOS PAC ID: 8921167214 Enrollment ID: I20210618001932 |
| Provider Name | Joseph Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598258717 PECOS PAC ID: 9335499706 Enrollment ID: I20210621003030 |
| Provider Name | John Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003811415 PECOS PAC ID: 1254526072 Enrollment ID: I20210624003412 |
| Provider Name | Frances Norene Lein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841864188 PECOS PAC ID: 9537563051 Enrollment ID: I20210805002287 |
Aspirus Womens Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Pine Ridge Blvd, Suite 185, Wausau, WI 54401 Phone: 715-847-0477 Fax: 715-847-0409 | |
North Central Heatlh Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Marshall St Ste A, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Aspirus Perinatology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Plaza Dr, Suite 2100, Wausau, WI 54401 Phone: 715-847-2475 | |
Wausau Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Wind Ridge Dr, Wausau, WI 54401 Phone: 715-675-5201 | |
North Central Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Aspirus Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Pine Ridge Blvd, Suite 220a, Wausau, WI 54401 Phone: 715-847-2070 | |
Spine & Brain Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Westhill Dr, Suite 200, Wausau, WI 54401 Phone: 715-843-1000 Fax: 715-843-1001 |