MARSHFIELD CLINIC (NPI# 1174697908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174697908 |
| Entity Type | Organization |
| Organization Name | MARSHFIELD CLINIC |
| Other Organization Name | MARSHFIELD CLINIC PHARMACY |
| Practice Address |
2727 Plaza Dr Wausau WI 54401-4129 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7158473302 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-03-08 |
| Authorized Official Name | 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 |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33231300 | 05 |
| 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 |
2727 PLAZA DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102546 | Naomi E Arenson | Psychiatry & Neurology | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2005-08-30 |
| 1093332108 | Sara D'anne Smith | Registered Nurse | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2020-07-06 |
| 1154982296 | Kelly M Jonas | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2019-06-27 |
| 1639638174 | Michael J Darr | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2019-03-14 |
| 1801364245 | Tracy Brock | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2018-11-04 |
| 1548742703 | Kayleigh Amanda Gospodarek | Physician Assistant | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2018-09-04 |
| 1184135949 | Claudia Gineta Istrate | Internal Medicine | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2017-10-19 |
| 1942733845 | Erin M. Kern | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401 | 2017-04-06 |
| 1790217503 | Sean Sarazen | Optometrist | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2017-03-30 |
| 1548613581 | Diane Mary Alber | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2016-07-14 |
| Find all providers in the same location | ||||
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588766505 | Aspirus Clinics, Inc | Pharmacy | 425 Pine Ridge Blvd Ste 220a, Wausau, WI 54401-4123 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252813 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 100e, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1487213237 | Aurora Pharmacy Inc | Pharmacy | 9000 W Sura Ln Ste 100, Greenfield, WI 53228-3477 | 2019-06-06 |
| 1295208114 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave Ste 100, Port Washington, WI 53074-2074 | 2019-01-03 |
| 1144705880 | Aurora Pharmacy Inc. | Pharmacy | 135 Jackson St Ste 100, Oshkosh, WI 54901-4713 | 2018-09-28 |
| 1336634229 | Aurora Pharmacy Inc. | Pharmacy | 3003 University Dr Ste 1, Marinette, WI 54143-4110 | 2018-06-25 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1629592688 | Aurora Pharmacy Inc | Pharmacy | 200 E Ryan Rd Ste 101, Oak Creek, WI 53154-4563 | 2017-08-01 |
| 1003362179 | Aurora Pharmacy Inc | Pharmacy | 12500 Aurora Dr Ste 1000, Pleasant Prairie, WI 53158-1227 | 2016-08-29 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1952630857 | Marshfield Clinic, Inc. | Pharmacy | 1000 N Oak Ave Ste 300, Marshfield, WI 54449 | 2009-12-24 |
| 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.