TRACY L COUSINS


Address: 333 Pine Ridge Blvd, Wausau, WI 54401-4120
Phone: 7158472130

TRACY L COUSINS (NPI# 1679543383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679543383
Entity Type Individual
Full Name TRACY L COUSINS
Credential M.D.
Practice Address 333 Pine Ridge Blvd
Wausau
WI 54401-4120
Mailing Address 2800 Westhill Dr
Suite 208
Wausau
WI 54401-3771
Practice Telephone 7158472130
Mailing Telephone 7158470075
Enumeration Date 2006-01-25
Last Update Date 2016-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
35452 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 32045200 05

Office Location

Street Address 333 PINE RIDGE BLVD
City WAUSAU
State WI
Zip Code 54401-4120

Providers in the same location

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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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031464 Central Wisconsin Endodontic Specialists LLC Dentist 2606 Stewart Avenue, #102, Wausau, WI 54401 2020-07-23
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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
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326211384 Scott James Kantola Pathology 2800 Westhill Dr Ste 208, Wausau, WI 54401-3770 2008-04-10
1447215736 Sarah A Sewall Pathology 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2006-04-19
1174593875 Edgar Betancourt Pathology 333 Pine Ridge Blvd, Wausau, WI 54401-4120 2006-01-25
1376513036 Fushen Xu Pathology 333 Pine Ridge Blvd, Wausau, WI 54401-4120 2006-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992316533 Andrii Puzyrenko Pathology 9200 W Wisconsin Ave Ste L83, Milwaukee, WI 53226-3522 2020-08-16
1487040127 Michelle Stoffel Pathology Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 2015-04-09
1447694328 Patrick Stephen Rush Pathology 600 Highland Ave. H4/831, Uw Hospital and Clinics, Madison, WI 53792 2013-04-23
1346501756 James Murray Angevine Pathology 602 Mineral Pt Road, Apt 214, Madison, WI 53705-4577 2012-06-01
1023314549 Stephen Lee Mcclellan Pathology N4656 Lakeshore Dr, Kewaunee, WI 54216-9794 2011-01-31
1922231414 Darrell Peter Skarphol Pathology 2480 Edgewood Ct, Green Bay, WI 54302-4813 2009-08-31
1518110147 Werner Adam Reis Pathology 839 N Jefferson St Ste 300, Milwaukee, WI 53202-3744 2008-10-28
1598927444 Leela C Thachenkary Pathology 7107-49th Ave, Kenosha, WI 53142 2008-07-01
1437355997 Monica Goswami Pathology 10472 W Montana Ave, # 215, West Allis, WI 53227-3263 2007-06-22
1891827234 Jay F Schamberg Pathology 8901 West Lincoln Ave., West Allis, WI 53227 2007-03-12
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Competitor

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City WAUSAU
Zip Code 54401

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Dataset Information

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.

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