ASPIRUS WAUSAU HOSPITAL, INC (NPI# 1821115023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821115023 |
| Entity Type | Organization |
| Organization Name | ASPIRUS WAUSAU HOSPITAL, INC |
| Other Organization Name | ASPIRUS REFERENCE LABORATORY |
| Practice Address |
333 Pine Ridge Blvd Wausau WI 54401-4120 |
| Mailing Address |
Po Box 1008 Wausau WI 54402-1008 |
| Practice Telephone | 7158472229 |
| Practice Fax Number | 7158472286 |
| Mailing Telephone | 7158472229 |
| Mailing Fax Number | 7158472286 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | SIDNEY C SCZYGELSKI (CFO) |
| Authorized Official Telephone | 7158472121 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASPIRUS WAUSAU HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 188 | WI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32946900 | 05 |
| Other Name | Type Code |
|---|---|
| Aspirus Reference Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609004142 | Aspirus Wausau Hospital, Inc | Clinic/Center | 3402 Howland Ave Ste 100, Weston, WI 54476-5633 | 2009-06-23 |
| 1558363986 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2005-08-15 |
| 1780014407 | Aspirus Wausau Hospital, Inc | Radiology | 3200 Westhill Dr, Wausau, WI 54401-4705 | 2013-11-15 |
| 1922321140 | Aspirus Wausau Hospital, Inc | Clinic/Center | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2010-03-02 |
| 1356576490 | Aspirus Wausau Hospital, Inc | Clinic/Center | 215 N 28th Ave, Wausau, WI 54401-4100 | 2009-05-19 |
| 1285888602 | Aspirus Wausau Hospital, Inc | Clinic/Center | 3333 E Main St, Merrill, WI 54452-8959 | 2008-11-12 |
| 1396994208 | Aspirus Wausau Hospital, Inc | General Practice | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2008-09-16 |
| 1215101076 | Aspirus Wausau Hospital, Inc | Ambulance | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2008-04-14 |
| 1720299761 | Aspirus Wausau Hospital, Inc | Nurse Practitioner | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2007-05-24 |
| 1902923170 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 3200 Westhill Dr Ste 100, Wausau, WI 54401-4706 | 2007-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ASPIRUS WAUSAU HOSPITAL, INC. | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 |
| Street Address |
333 PINE RIDGE BLVD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4120 |
| 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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| 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 |
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| 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 Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1316917008 | Associates In Pathology, S.c. | Clinical Medical Laboratory | 2800 Westhill Dr, Suite 208, Wausau, WI 54401-3771 | 2006-01-25 |
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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.