CARL J VIVIANO (NPI# 1811925829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811925829 |
| Entity Type | Individual |
| Full Name | CARL J VIVIANO |
| Credential | M.D. |
| Practice Address |
3300 Westhill Dr Wausau WI 54401-4710 |
| Practice Telephone | 7158472605 |
| Practice Fax Number | 7158472604 |
| Mailing Telephone | 7158472605 |
| Mailing Fax Number | 7158472604 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 31967-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31685400 | 05 |
| Street Address |
3300 WESTHILL DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578533949 | Kristin Ruesch | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-01-26 |
| 1861027559 | Amber Jeanne Brock | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2020-03-03 |
| 1588299275 | Cassandra Rick | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2020-03-03 |
| 1164075339 | Brittany Ocker | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2019-07-17 |
| 1609340561 | Lisa Marie Werner | Nurse Practitioner | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2019-01-14 |
| 1659853505 | Sean Witz | Specialist/Technologist, Other | 3300 Westhill Dr, Wausau, WI 54401 | 2018-09-06 |
| 1265923098 | Jennifer Dorothy Yurish | Nurse Practitioner | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2018-05-29 |
| 1518349505 | Kirsten Donner | Physician Assistant | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2015-06-25 |
| 1508894999 | David L Bluestein | Specialist | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-06-28 |
| 1417985805 | Laura E Sherrill | Urology | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-06-28 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1417985805 | Laura E Sherrill | Urology | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-06-28 |
| 1962446476 | Joseph W Babiarz | Urology | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-06-15 |
| 1417998451 | Benjamin S Battino | Urology | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-06-09 |
| 1609816222 | Roy A Brandell | Urology | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
| 1356591978 | Randle E Pollard | Urology | 1233 N. Marshall St., #274, Milwaukee, WI 53202 | 2008-09-19 |
| Find all providers with the same taxonomy | ||||
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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.