THOMAS G STAYSNIAK (NPI# 1346297900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346297900 |
| Entity Type | Individual |
| Full Name | THOMAS G STAYSNIAK |
| Credential | DPM |
| Practice Address |
5200 Hummingbird Rd Ste 100 Wausau WI 54401-6312 |
| Practice Telephone | 7153596442 |
| Practice Fax Number | 7153930390 |
| Mailing Telephone | 7153596442 |
| Mailing Fax Number | 7153930390 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2012-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 695 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
695 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43219000 | 05 | |
| DEA NUMBER | BS2764048 | 01 |
| Street Address |
5200 HUMMINGBIRD RD STE 100 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306335336 | Brianne C Sims | Nurse Practitioner | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-05-04 |
| 1568961720 | Tristan Philip Peterson | Specialist/Technologist, Other | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-02-02 |
| 1144699414 | Kelsey J Brost | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2015-09-17 |
| 1376952507 | Crystal Lothe | Nurse Practitioner | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2014-08-13 |
| 1902166978 | Jessica L Juntunen | Family Medicine | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2012-05-23 |
| 1053687772 | Lori Ann Ellerman | Specialist/Technologist, Other | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2012-03-27 |
| 1568793479 | Justin John Tuskowski | Specialist/Technologist, Other | 5200 Hummingbird Rd, Wausau, WI 54401-6312 | 2010-01-18 |
| 1124354345 | Northern Wisconsin Bone & Joint | Specialist | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2009-10-22 |
| 1639302623 | Jeffrey Michel Keola Martin | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-25 |
| 1487885596 | Daniel P Johnston | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-06 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1669403101 | Anders V Juvonen | Podiatrist | 115 W Bridge St, Wausau, WI 54401-2929 | 2006-07-05 |
| 1568456218 | Podiatry Associates of Wausau, S.c. | Podiatrist | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2005-09-08 |
| 1942294699 | Michael Ehrhardt Jourdan | Podiatrist | Podiatry Associates of Wausau, S.c., 1445 Merrill Ave, Wausau, WI 54401 | 2005-09-08 |
| 1093963456 | Wausau Podiatry Center Ltd | Podiatrist | 115 W Bridge St, Wausau, WI 54401-2929 | 2008-08-28 |
| 1164696761 | Paul T Strobel | Podiatrist | 225000 Hummingbird Rd Ste 100, Wausau, WI 54401-2950 | 2008-04-15 |
| 1679674378 | Gregory John Poole | Podiatrist | 2727 Plaza Dr, Wausau, WI 54401 | 2006-09-26 |
| 1205851284 | Dawn J Anderson | Podiatrist | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2006-07-12 |
| 1780663377 | Brent E Zastrow | Podiatrist | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2006-01-11 |
| 1528052024 | Thomas Gregory Landretti | Podiatrist | 1445 Merrill Ave, Podiatry Associates of Wausau, S.c., Wausau, WI 54401-2646 | 2005-09-12 |
| Find all providers in WAUSAU | ||||
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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.