DR. JESSICA L JUNTUNEN (NPI# 1902166978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902166978 |
| Entity Type | Individual |
| Full Name | DR. JESSICA L JUNTUNEN |
| Credential | MD |
| Practice Address |
5200 Hummingbird Rd Suite 100 Wausau WI 54401-6312 |
| Practice Telephone | 7153596442 |
| Practice Fax Number | 7153930390 |
| Mailing Telephone | 7153596442 |
| Mailing Fax Number | 7153930390 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
70079-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
50450 | AZ | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD.34311 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 152698 | 05 |
| Street Address |
5200 HUMMINGBIRD RD SUITE 100 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346297900 | Thomas G Staysniak | Podiatrist | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-28 |
| 1306335336 | Brianne C Sims | Nurse Practitioner | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-05-04 |
| 1568961720 | Tristan Philip Peterson | Specialist/Technologist, Other | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-02-02 |
| 1144699414 | Kelsey J Brost | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2015-09-17 |
| 1376952507 | Crystal Lothe | Nurse Practitioner | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2014-08-13 |
| 1053687772 | Lori Ann Ellerman | Specialist/Technologist, Other | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2012-03-27 |
| 1568793479 | Justin John Tuskowski | Specialist/Technologist, Other | 5200 Hummingbird Rd, Wausau, WI 54401-6312 | 2010-01-18 |
| 1124354345 | Northern Wisconsin Bone & Joint | Specialist | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2009-10-22 |
| 1639302623 | Jeffrey Michel Keola Martin | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-25 |
| 1487885596 | Daniel P Johnston | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-06 |
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811203706 | Matthew M Brown | Family Medicine | 1705 Hoffman St, Madison, WI 53704-2510 | 2010-08-30 |
| 1174764906 | Mark W Niedfeldt, Md, LLC | Family Medicine | 10556 N Port Washington Rd, Ste 101, Mequon, WI 53092-5586 | 2009-03-06 |
| 1225151558 | Patrick Earl Mcdonough | Family Medicine | 235 State Street, St. Croix Falls, WI 54024 | 2007-04-10 |
| 1790858462 | Shanyn Colleen Lancaster | Family Medicine | 1250 W Wisconsin Ave, Student Health, Schroeder Complex, Lower Level, Milwaukee, WI 53233-2225 | 2006-11-17 |
| 1306919907 | Steven Alan Giles | Family Medicine | 3316 Ridgeline Dr, Waukesha, WI 53188 | 2006-11-15 |
| 1689220527 | Delo Sport and Stem Sc | Family Medicine | 2595 Development Dr Ste 140, Green Bay, WI 54311-4267 | 2019-08-15 |
| 1417377755 | Todd Domeyer | Family Medicine | 3113 Saemann Ave, Sheboygan, WI 53081 | 2014-04-25 |
| 1972949501 | Chad Joseph Giles | Family Medicine | 4100 State Highway 66, Stevens Point, WI 54482 | 2013-05-22 |
| 1073956363 | Lucianne Helena Olewinski | Family Medicine | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2013-04-17 |
| 1255607057 | John Charles Pick-jacobs | Family Medicine | 7401 104th Ave Ste 110, Kenosha, WI 53142 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JESSICA L JUNTUNEN.
| 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.