CARDIOVASCULAR ASSOCIATES OF NORTHERN WISCONSIN, S.C. (NPI# 1275574915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275574915 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR ASSOCIATES OF NORTHERN WISCONSIN, S.C. |
| Practice Address |
500 Wind Ridge Drive Wausau WI 54401 |
| Practice Telephone | 7158472611 |
| Practice Fax Number | 7158472465 |
| Mailing Telephone | 7158472611 |
| Mailing Fax Number | 7158472465 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2010-11-12 |
| Authorized Official Name | PETER HANSON (ADMINISTRATOR) |
| Authorized Official Telephone | 7158472611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32756000 | 05 |
| Street Address |
500 WIND RIDGE DRIVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548248727 | Carla J Heiden | Physician Assistant | 500 Wind Ridge Drive, Cardiovascular Associates, Wausau, WI 54401 | 2006-01-06 |
| 1699754184 | Rhonda K Bartelt | Nurse Practitioner | 500 Wind Ridge Drive, Cardiovascular Associates, Wausau, WI 54401 | 2006-01-12 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065025 | Susan Jane Janz | Specialist | 1014 W Thomas St, Wausau, WI 54401-5986 | 2019-10-23 |
| 1679704936 | David Joe Freeman | Specialist | 1925 Townline Rd, Wausau, WI 54403-9119 | 2009-08-05 |
| 1306986344 | Tara Lynn Pasholk II | Specialist | 113 North 9th Ave, Wausau, WI 54401 | 2007-02-07 |
| 1386689099 | Elizabeth Ruth Lotz | Specialist | 1108 S 17th Ave, Wausau, WI 54401-5709 | 2006-06-17 |
| 1831132018 | Urology Specialists of Wisconsin Sc | Specialist | 3300 Westhill Drive, Wausau, WI 54401 | 2006-06-14 |
| 1023416559 | Aaron Zondlo | Specialist | 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | 2014-12-16 |
| 1124354345 | Northern Wisconsin Bone & Joint | Specialist | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2009-10-22 |
| 1679757710 | Jennifer L. Kowalski | Specialist | 3200 Westhill Dr, Suite 100, Wausau, WI 54401-4705 | 2007-12-26 |
| 1508894999 | David L Bluestein | Specialist | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-06-28 |
| 1730115932 | Benjamin James Hackett | Specialist | 225000 Hummingbird Rd Ste 100, Wausau, WI 54401-2950 | 2006-06-23 |
| Find all providers in WAUSAU | ||||
Please comment or provide details below to improve the information on CARDIOVASCULAR ASSOCIATES OF NORTHERN WISCONSIN, S.C..
| 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.