MARSHFIELD CLINIC (NPI# 1164654513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164654513 |
| Entity Type | Organization |
| Organization Name | MARSHFIELD CLINIC |
| Other Organization Name | MARSHFIELD CLINIC PHARMACY |
| Practice Address |
390 Orbiting Dr Mosinee WI 54455-1763 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7156939181 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2010-03-08 |
| Authorized Official Name | DR. DAVID J. SIMENSTAD (MEDICAL DIRECTOR REIMBURSEMENT) |
| Authorized Official Telephone | 7153875511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHFIELD CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 8797 | WI | Suppliers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
8797 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marshfield Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639484074 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 2661 County Hwy I, Chippewa Falls, WI 54729-5407 | 2010-08-10 |
| 1437477825 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 945 S. Detloff Dr., Arcadia, WI 54612-1895 | 2010-05-10 |
| 1801113584 | Marshfield Clinic | Pharmacy | 5110 N Hwy 51, Mercer, WI 54547-8900 | 2010-04-21 |
| 1225267834 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 2600 Stewart Center, Wausau, WI 54401-1403 | 2009-07-06 |
| 1467641738 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 1002 W Clairemont Ave, Eau Claire, WI 54701-6123 | 2007-10-23 |
| 1669551925 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 3500 Stewart Ave, Wausau, WI 54401-4919 | 2006-11-06 |
| 1720164676 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 141 N. Main St., Loyal, WI 54446 | 2006-10-31 |
| 1376902130 | Marshfield Clinic | Non-Pharmacy Dispensing Site | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2016-02-22 |
| 1982025441 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 4956 Bullis Farm Rd, Eau Claire, WI 54701-5168 | 2013-12-30 |
| 1811267537 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 410 Dewey St, Riverview Medical Center - West Building, Wisconsin Rapids, WI 54495-8075 | 2012-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARSHFIELD CLINIC | 1000 N Oak Ave, Marshfield, WI 54449-5703 |
| Colorado Business Entities | Marshfield Clinic Health System INC | 1000 North Oak Ave, Attn: Payroll, Marshfield, WI 54449 |
| Alabama Business Registrations | MARSHFIELD CLINIC HEALTH SYSTEM INC | 1000 N Oak Ave, Marshfield, WI 54449 |
| System for Award Management (SAM) Entities | MARSHFIELD CLINIC HEALTH SYSTEM, INC. | 1000 N Oak Ave, Marshfield, WI 54449-5703 |
| Colorado Business Entities | MARSHFIELD CLINIC INFORMATION SERVICES, INC | 1701 N Fig Ave, Marshfield, WI 54449 |
| Street Address |
390 ORBITING DR |
| City | MOSINEE |
| State | WI |
| Zip Code | 54455-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659369205 | Jerome R Sheff | Emergency Medicine | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2005-10-07 |
| 1790176675 | Stephanie Roth | Physical Therapist | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2015-02-12 |
| 1841691607 | Lisa Grams | Physical Therapist | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2014-09-11 |
| 1952745994 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2013-04-22 |
| 1427233097 | Marshfield Clinic | Pharmacy | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2008-01-02 |
| 1679659262 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2006-10-27 |
| 1790873867 | Jane M Ziemanski | Nurse Practitioner | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2006-10-11 |
| 1861507378 | Boyd J Groth | Family Medicine | 390 Orbiting Dr, Mosinee, WI 54455 | 2006-08-21 |
| 1881709301 | Gerald W Grim | Family Medicine | 390 Orbiting Dr, Mosinee, WI 54455 | 2006-08-21 |
| 1821103342 | David L Joswick | Physician Assistant | 390 Orbiting Dr, Mosinee, WI 54455 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459650 | Cameron Lee Mayfield | Student in an Organized Health Care Education/Training Program | 902 Kronenwetter Drive, Apt. 9, Mosinee, WI 54455 | 2020-02-12 |
| 1477073708 | Heather Samantha Laffin | Registered Nurse | 675 Ridge Road, Trailer 214, Mosinee, WI 54455 | 2017-06-27 |
| 1497296388 | Heidi Gwidt | Registered Nurse | 2045 1/2 S. Cty. Rd. X, Mosinee, WI 54455 | 2017-03-13 |
| 1578819256 | Rebecca Lynn Deffner | Nurse Practitioner | 1881 County Trunk Xx, Mosinee, WI 54455 | 2012-07-31 |
| 1770757668 | Peoplefirst | Skilled Nursing Facility | 681 South Highway X, Mosinee, WI 54455 | 2008-04-22 |
| 1134310063 | George A Knoedler | Dentist | 1103 Pine St, Mosinee, WI 54455 | 2007-08-06 |
| 1770785388 | Diana R Michlig | Registered Nurse | 1634 Hwy B, Mosinee, WI 54455 | 2007-06-05 |
| 1558461715 | Leah J Bouton | Physical Therapist | 390 Orbiting Drive, Mosinee, WI 54455 | 2006-09-25 |
| 1578660965 | Ryan L Miller | Chiropractor | 107 Maple St, Mosinee, WI 54455 | 2006-09-20 |
| 1942307327 | Charles N Heike | Chiropractor | 107 Maple Street, Mosinee, WI 54455 | 2006-09-20 |
| Find all providers in zip 54455 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| Find all providers with the same taxonomy | ||||
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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.