GLENN B BURT III (NPI# 1891796553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891796553 |
| Entity Type | Individual |
| Full Name | GLENN B BURT III |
| Credential | MD |
| Practice Address |
1901 Westwood Center Blvd Wausau WI 54401-2892 |
| Practice Telephone | 7153559700 |
| Mailing Telephone | 7153559700 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 27936 | WI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 27936-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34225100 | 05 |
| Street Address |
1901 WESTWOOD CENTER BLVD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070213 | Macy Mae Porlier | Pharmacist | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2019-12-19 |
| 1679046908 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2019-01-09 |
| 1124514377 | Ryley Ruzek | Physical Therapist | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2018-07-10 |
| 1518488279 | Zachary Louis Miller | Pharmacist | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2017-07-03 |
| 1528589801 | Alexander Otte | Pharmacist | 1901 Westwood Center Blvd, Wausau, WI 54401 | 2017-06-27 |
| 1366869315 | Kevin John Townshend | Family Medicine | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2014-03-27 |
| 1386954733 | Heidi Leigh Heise | Nurse Practitioner | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2010-10-19 |
| 1033428271 | Gina E Ramthun | Nurse Practitioner | 1901 Westwood Center Blvd, Wausau, WI 54401 | 2010-10-06 |
| 1174640791 | Tanya M Schaer | Occupational Therapist | 1901 Westwood Center Blvd, Wausau, WI 54401 | 2007-03-26 |
| 1265507537 | Ascension Medical Group-northern Wisconsin, Inc | Clinic/Center | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2006-11-22 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396196150 | Amanda Schoenfuss | Family Medicine | 2720 Plaza Dr Ste 1300, Wausau, WI 54401-4165 | 2016-06-23 |
| 1093974305 | Kenechi E Anuligo | Family Medicine | 408 3rd Street, Suite 306, Wausau, WI 54403-3404 | 2008-06-03 |
| 1235398561 | Margo J Quinn | Family Medicine | 4149 Boulder Rdg, Wausau, WI 54401-8360 | 2008-06-02 |
| 1356486369 | Wausau Aviation Medicine Services | Family Medicine | 915 Woods Place, Wausau, WI 54403-7074 | 2007-02-20 |
| 1003989724 | Jonathan Joseph Cotter | Family Medicine | 3110 Glendale Ave, Wausau, WI 54401-4050 | 2006-11-17 |
| 1205946456 | Kay A Gruling | Family Medicine | 620 County Road O, Wausau, WI 54401-9091 | 2006-08-30 |
| 1366474850 | Claire H Reed | Family Medicine | 1810 2nd St, Wausau, WI 54403-3492 | 2006-07-07 |
| 1710924329 | Ryan A Gossett | Family Medicine | 1810 N 2nd St, Wausau, WI 54403-3492 | 2006-06-01 |
| 1518920578 | Michael A Umland | Family Medicine | 212 Sturgeon Eddy Rd, Wausau, WI 54403-6672 | 2006-04-10 |
| 1386141927 | James Herschel Johnson | Family Medicine | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2018-04-10 |
| Find all providers in WAUSAU | ||||
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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.