SCOTT D BAUTCH (NPI# 1063518439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063518439 |
| Entity Type | Individual |
| Full Name | SCOTT D BAUTCH |
| Credential | DC |
| Practice Address |
3540 Stewart Ave Wausau WI 54401-4919 |
| Practice Telephone | 7158423999 |
| Practice Fax Number | 7158437761 |
| Mailing Telephone | 7158423999 |
| Mailing Fax Number | 7158437761 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1892-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38786000 | 05 | |
| RAILROAD MEDICARE GROUP | CJ7408 | 01 | |
| WI | SECURITY HEALTH PLAN | 27862 | 01 |
| Street Address |
3540 STEWART AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508338559 | Matthew Bautch | Chiropractor | 3540 Stewart Ave, Wausau, WI 54401-4919 | 2018-12-31 |
| 1316315153 | Scott D. Bautch D C S C | Chiropractor | 3540 Stewart Ave, Suite A, Wausau, WI 54401-4919 | 2015-09-10 |
| 1285908566 | Alia Hussain | Chiropractor | 3540 Stewart Ave, Suite A, Wausau, WI 54401-4919 | 2012-03-03 |
| 1609147495 | Jessica Rohde | Chiropractor | 3540 Stewart Ave, Wausau, WI 54401-4919 | 2012-01-25 |
| 1245534833 | Donald R Lorentz | Chiropractor | 3540 Stewart Ave, Ste A, Wausau, WI 54401-4919 | 2010-12-22 |
| 1396074779 | Aaron R Johnson | Chiropractor | 3540 Stewart Ave, Wausau, WI 54401-4919 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469869 | Alexis Schneider | Chiropractor | 1015 N 6th St, Wausau, WI 54403-4761 | 2018-12-31 |
| 1265908255 | Morgan Kristine Day | Chiropractor | 911 N 6th St, Wausau, WI 54403-4718 | 2018-10-17 |
| 1417422544 | Clifford Chiropractic Rehabilitation Center | Chiropractor | 1027 S 17th Ave Ste C, Wausau, WI 54401-5761 | 2018-10-04 |
| 1376918102 | Andrew Stuttgen | Chiropractor | 100 N 72nd Ave, Suite 108, Wausau, WI 54401-9042 | 2015-12-04 |
| 1487061719 | Justin W Cronk | Chiropractor | 530 Mcclellan St, Wausau, WI 54403-4844 | 2014-07-18 |
| 1417238213 | Ruppel Chiropractic, LLC | Chiropractor | 1220 6th St, Wausau, WI 54403-3550 | 2011-09-07 |
| 1427361120 | Lackman Chiropractic LLC | Chiropractor | 4001 Rib Mountain Dr, Wausau, WI 54401-7445 | 2010-07-22 |
| 1285951707 | Spring Into Life Chiropractic, LLC | Chiropractor | 903 S 17th Ave, Suite D, Wausau, WI 54401-5700 | 2010-04-23 |
| 1649596651 | Peter A Throm | Chiropractor | 605 S 24th Ave, Suite 46, Wausau, WI 54401-1705 | 2010-04-15 |
| 1023149184 | We Love It Inc | Chiropractor | 2804 Rib Mountain Dr Ste D, Wausau, WI 54401-7473 | 2007-03-08 |
| Find all providers in WAUSAU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.