PAIN CENTERS OF WISCONSIN - WAUSAU, LLC (NPI# 1316206972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316206972 |
| Entity Type | Organization |
| Organization Name | PAIN CENTERS OF WISCONSIN - WAUSAU, LLC |
| Practice Address |
400 Westwood Dr Suite 200 Wausau WI 54401-7801 |
| Mailing Address |
4131 W Loomis Rd Ste 300 Greenfield WI 53221-2059 |
| Practice Telephone | 7152610425 |
| Practice Fax Number | 7152612450 |
| Mailing Telephone | 4143257246 |
| Mailing Fax Number | 4143253770 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | VISHAL LAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4143257246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053974964 | Pain Centers of Wisconsin - Wausau, LLC | Durable Medical Equipment & Medical Supplies | 400 Westwood Dr Ste 200, Wausau, WI 54401-7801 | 2019-04-16 |
| Street Address |
400 WESTWOOD DR SUITE 200 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134265739 | Russell W. Creel | Nurse Practitioner | 400 Westwood Dr, Wausau, WI 54401-7801 | 2007-01-30 |
| 1366085755 | Katie A Baumann | Nurse Practitioner | 400 Westwood Dr, Wausau, WI 54401-7801 | 2019-10-18 |
| 1477947208 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 400 Westwood Dr, Wausau, WI 54401-7801 | 2015-03-18 |
| 1457660169 | Kathleen A. Kaczmarowski | Nurse Practitioner | 400 Westwood Dr, Suite 200, Wausau, WI 54401-7801 | 2010-09-29 |
| 1225296635 | Elizabeth A. Schroeder | Nurse Practitioner | 400 Westwood Dr, Wausau, WI 54401-7801 | 2008-06-02 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669787958 | Pine Ridge Surgery Center, LLC | Clinic/Center | 2500 Pine Ridge Blvd, Wausau, WI 54401-0000 | 2010-08-11 |
| 1053585125 | Bjosc, LLC | Clinic/Center | 225000 Hummingbird Rd Ste 300, Wausau, WI 54401-2950 | 2008-04-18 |
| 1851356786 | Wausau Surgery Center Lp | Clinic/Center | 2809 Westhill Dr, Wausau, WI 54401-3700 | 2006-04-20 |
| 1215283866 | Ec Laser and Surgery Institute of Wi, LLC | Clinic/Center | 800 N 1st St, Suite 100, Wausau, WI 54403-4754 | 2012-08-01 |
| 1962663559 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 411 Westwood Dr, Wausau, WI 54401 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAIN CENTERS OF WISCONSIN - WAUSAU, LLC.
| 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.