JARED P. BUNTIN (NPI# 1144601089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144601089 |
Entity Type | Individual |
Full Name | JARED P. BUNTIN |
Practice Address |
229 Fountain Hills Blvd Wausau WI 54403-9359 |
Practice Telephone | 7152979890 |
Mailing Telephone | 7152979890 |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-06-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
229 FOUNTAIN HILLS BLVD |
City | WAUSAU |
State | WI |
Zip Code | 54403-9359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
Find all providers in zip 54403 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649897349 | Carly Maves | Student in an Organized Health Care Education/Training Program | 151125 Jonquil Ln, Wausau, WI 54401-5416 | 2020-06-29 |
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 |
1851896153 | Tsarina Rachel Vanwieren | Student in an Organized Health Care Education/Training Program | 333 Pine Ridge Blvd Ste 2-730, Wausau, WI 54401-4106 | 2018-03-28 |
1548380611 | Craig C Clifford | Student in an Organized Health Care Education/Training Program | 995 W Campus Dr, Wausau, WI 54401-1897 | 2007-03-30 |
1811510472 | Joshua T Hess | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
1508489170 | Madeline Oestreich | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
1972126530 | Christopher Polonio | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
1619590270 | Chanteal L Findling | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
1558999433 | Tony Swicer Jr. | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-03-27 |
1639706971 | Boris Berman | Student in an Organized Health Care Education/Training Program | 333 Pine Ridge Blvd Ste 2-730, Wausau, WI 54401-4106 | 2020-03-25 |
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.