DR. RYAN S STEVER (NPI# 1417488958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417488958 |
| Entity Type | Individual |
| Full Name | DR. RYAN S STEVER |
| Credential | M.D. |
| Practice Address |
333 Pine Ridge Blvd Suite 2-730 Wausau WI 54401-4102 |
| Practice Telephone | 7158700906 |
| Mailing Telephone | 7158700906 |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 69971-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN MEDICAL LICENSE | 69971-20 | 01 |
| Street Address |
333 PINE RIDGE BLVD SUITE 2-730 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363986 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2005-08-15 |
| 1902415789 | John Hupp II | Registered Nurse | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2020-07-28 |
| 1720600240 | Jennifer Scharenbrock | Physical Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2020-05-07 |
| 1467009282 | Anson Mcquigg | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-26 |
| 1447807086 | Kelly Jonathon Douck | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-19 |
| 1699329102 | Madeline Erickson | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2019-08-01 |
| 1194384198 | Emily Morgan Meyer | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-06-12 |
| 1659937738 | Breanna Zajichek | Physician Assistant | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-05-14 |
| 1336703677 | Sophia Frances Andera-cato | Physician Assistant | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2019-04-23 |
| 1073096681 | Beth Brinkman | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2018-09-10 |
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| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376915330 | Michael Perez Rodriguez | General Practice | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2015-10-29 |
| 1396994208 | Aspirus Wausau Hospital, Inc | General Practice | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2008-09-16 |
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| 1104458025 | Lisa M Bender | General Practice | 213 Bergamont Blvd Apt 101, Oregon, WI 53575-3722 | 2020-02-08 |
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| 1750866828 | Fi-med Management Inc | General Practice | 333 Bishops Way Ste 122, Brookfield, WI 53005-6209 | 2018-09-25 |
| 1073017265 | Vincent Lucas David Fryer | General Practice | 2329 Sunny Ln Apt C, Suamico, WI 54313-7821 | 2018-03-21 |
| 1952846982 | Practice Partners Healthcare Group, S.c. | General Practice | 1434 Thelen Farm Trl, Houlton, WI 54082-2062 | 2016-12-29 |
| 1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
| 1306237417 | Aaron Rosenberg | General Practice | 1516 W Mequon Rd Ste 103, Mequon, WI 53092-3264 | 2015-02-10 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
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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.