ASTIA HEALTH CLINICAL SERVICES, SC (NPI# 1295106318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295106318 |
Entity Type | Organization |
Organization Name | ASTIA HEALTH CLINICAL SERVICES, SC |
Other Organization Name | ASTIA HEALTH, LLC |
Practice Address |
630 S Central Ave Ste 303 Marshfield WI 54449-4196 |
Mailing Address |
664 Community Circle Marathon WI 54448 |
Practice Telephone | 8888854434 |
Mailing Telephone | 8888854434 |
Enumeration Date | 2015-10-15 |
Last Update Date | 2018-10-09 |
Authorized Official Name | ALEXANDER L. SOMMERS (CEO) |
Authorized Official Telephone | 4143504400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Other Name | Type Code |
---|---|
Astia Health, LLC | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
Street Address |
630 S CENTRAL AVE STE 303 |
City | MARSHFIELD |
State | WI |
Zip Code | 54449-4196 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125415 | Natalia Rodriguez Luquerna | Student in an Organized Health Care Education/Training Program | 100 N Oak Ave, Marshfield, WI 54449 | 2019-07-01 |
1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
1811489206 | Gateways Counseling Services, LLC | Counselor | 1905 S Central Ave, Marshfield, WI 54449 | 2018-06-01 |
1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
1295187441 | Trina D Howard | Social Worker | 501 S. Cherry Ave, Suite 5, Marshfield, WI 54449 | 2016-07-11 |
1427403062 | Kristi Trecartin | Speech-Language Pathologist | 100 North Oak Avenue, Marshfield, WI 54449 | 2016-05-02 |
1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
1467822759 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 1000 N. Oak Ave, Marshfield, WI 54449 | 2015-09-30 |
1346636743 | Jeanne Schreiner | Clinical Nurse Specialist | 611 Saint Joseph's Ave, Ministry Saint Joseph's Hospital, Marshfield, WI 54449 | 2015-04-13 |
1215336318 | Margaret Ann Chen | Medical Genetics, Ph.D. Medical Genetics | 3800 S. Business Park Ave., Marshfield, WI 54449 | 2014-08-14 |
Find all providers in zip 54449 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942795190 | Neurotech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1263 Main St Ste 213, Green Bay, WI 54302-1341 | 2018-06-28 |
1083941504 | Professional Portable Radiologic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1423 N 8th St, Suite 114, Superior, WI 54880-6664 | 2009-11-04 |
1861518052 | Accurate Imaging Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2007-03-21 |
1801420823 | All-stat Portable Wi, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2020-02-28 |
1023642204 | All-stat Portable Wi, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2020-02-27 |
1336780717 | Neurotech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1263 Main St Ste 213, Green Bay, WI 54302-1341 | 2019-10-07 |
1629583091 | Premium Mobile Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2017-12-07 |
1144657933 | Touhy Diagnostic At Home, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 723 58th St, 304, Kenosha, WI 53140-4160 | 2013-10-11 |
1043501828 | Professional Portable Radiologic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1423 N 8th St, Suite 114, Superior, WI 54880-6664 | 2011-04-27 |
1588993836 | Accurate Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2009-12-16 |
Find all providers with the same taxonomy |
City | MARSHFIELD |
Zip Code | 54449 |
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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.