T.D.C. (NPI# 1629269899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629269899 |
| Entity Type | Organization |
| Organization Name | T.D.C. |
| Practice Address |
3000 Emery Dr Wausau WI 54401-9710 |
| Practice Telephone | 7156756771 |
| Mailing Telephone | 7156756771 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | DR. JENNIFER BLAHNIK (SUPERVISOR) |
| Authorized Official Telephone | 7156756771 |
| Authorized Official Credential | O.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | 541-0001 | WI | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | T & A BARBOUR FOOD CORP. | 259 Barbour St., Hartford, CT 06120 |
| New York State Corporations | T & A CANDY AND GROCERY INC | 3442a E Tremont Ave, Bronx, Ny 10465 |
| Connecticut Business Registrations | T & A CHAUDHARY CORPORATION | 68 Omelia Road, Broad Brook, CT 06016 |
| Indiana Business Entities | T & A CUSTOM STEEL BUILDINGS, LLC | 7909 North Co Rd 550 West, Brazil, IN 47834 |
| New York State Corporations | T & A DELI & GROCERY NY, LLC | 1139 Olmstead Avenue, Bronx, Ny 10472 |
| Colorado Business Entities | T & A Development LLC | 2755 Rising Moon Way, Castle Rock, CO 80109 |
| Oklahoma Business Registrations | T & A DEVELOPMENT, L.L.C. | 12924 N Douglas Blvd, Jones, OK 73049 |
| Colorado Business Entities | T & A DRILING INC. | 407 Cherry St, Brighton, CO 80603 |
| Colorado Business Entities | T & A DRYWALL LLC | 2456 Ashland Lane, Fort Collins, CO 80524 |
| Colorado Business Entities | T & A Drywall Services | 4236 Laurel Dr, Evans, CO 80620 |
| Street Address |
3000 EMERY DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656251 | Jennifer Ann Blahnik | Acupuncturist | 3000 Emery Dr, Wausau, WI 54401-9710 | 2020-04-01 |
| 1831380096 | M.p.t.c. | Clinic/Center | 3000 Emery Dr, Wausau, WI 54401-9710 | 2007-08-05 |
| 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 | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255798815 | Braincare, LLC | Physiological Laboratory | S75w17311 Janesville Rd, Muskego, WI 53150-9376 | 2016-01-26 |
| 1982945010 | Heart To Sole Diagnostics | Physiological Laboratory | 7635 West Bluemound Road, Suite 1c, Milwaukee, WI 53213-3500 | 2013-03-14 |
| 1902041502 | Mds Digital Portable X-ray Inc | Physiological Laboratory | 10300 W Lincoln Ave, Suite. Ll, West Allis, WI 53227-2100 | 2008-12-10 |
| 1407868334 | Fox Valley Hematology & Oncology, S.c. | Physiological Laboratory | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2006-08-12 |
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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.