| North Central Health Care | |
|
2400 Marshall St Ste A Wausau WI 54403-6738 | |
| (715) 848-4600 | |
| (715) 845-5398 |
| Full Name | North Central Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2400 Marshall St Ste A, Wausau, Wisconsin |
| Authorized Official Name and Position | Gary D. Olsen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7158484600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Health Care 2400 Marshall St Ste A Wausau WI 54403-6738 Ph: (715) 848-4600 | North Central Health Care 2400 Marshall St Ste A Wausau WI 54403-6738 Ph: (715) 848-4600 |
| NPI Number | 1205944543 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 10/19/2023 |
| Medicare PECOS PAC ID | 4385617786 |
|---|---|
| Medicare Enrollment ID | O20040813001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205944543 | NPI | - | NPPES |
| 32768600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1677 (Wisconsin) | Primary |
| Provider Name | Laurence R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942220900 PECOS PAC ID: 4486636354 Enrollment ID: I20040603001212 |
| Provider Name | Leandrea S Lamberton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588615322 PECOS PAC ID: 1557308954 Enrollment ID: I20050415000690 |
| Provider Name | Debra A Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376570374 PECOS PAC ID: 3577576693 Enrollment ID: I20060713000026 |
| Provider Name | Shamim Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104916352 PECOS PAC ID: 3476659723 Enrollment ID: I20070502000333 |
| Provider Name | Jonathon A Snider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720275530 PECOS PAC ID: 9032205190 Enrollment ID: I20071019000634 |
| Provider Name | David B Tange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598781262 PECOS PAC ID: 0941112544 Enrollment ID: I20071026000730 |
| Provider Name | Robert J Vickrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659320331 PECOS PAC ID: 8628151370 Enrollment ID: I20080219000180 |
| Provider Name | Richard E Immler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386705887 PECOS PAC ID: 3870679608 Enrollment ID: I20080319000536 |
| Provider Name | Julie M Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093983967 PECOS PAC ID: 3577649318 Enrollment ID: I20080319000573 |
| Provider Name | David K Pelo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144409608 PECOS PAC ID: 6103983440 Enrollment ID: I20090331000548 |
| Provider Name | Robert Vincent Gouthro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285752089 PECOS PAC ID: 5698813509 Enrollment ID: I20091113000391 |
| Provider Name | David R Winemiller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659472470 PECOS PAC ID: 1456485382 Enrollment ID: I20100814000076 |
| Provider Name | Gabriella A Hangiandreou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861407660 PECOS PAC ID: 6800910688 Enrollment ID: I20100831000544 |
| Provider Name | Gabriel C Ticho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992711071 PECOS PAC ID: 6002931896 Enrollment ID: I20100916001076 |
| Provider Name | Heidi L Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386954733 PECOS PAC ID: 5698958346 Enrollment ID: I20110318000098 |
| Provider Name | Bababo O Opaneye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255621710 PECOS PAC ID: 7810174935 Enrollment ID: I20110526000619 |
| Provider Name | Graig A Aders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265758734 PECOS PAC ID: 3971766049 Enrollment ID: I20120530000266 |
| Provider Name | David Michael Mcmahon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457662249 PECOS PAC ID: 4880840271 Enrollment ID: I20141212001730 |
| Provider Name | Jennifer M Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538466792 PECOS PAC ID: 9638492838 Enrollment ID: I20141218002596 |
| Provider Name | Michael Haylett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154641454 PECOS PAC ID: 3173843299 Enrollment ID: I20150513001437 |
| Provider Name | Brigitte G Espinoza Ugaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710265814 PECOS PAC ID: 9537472741 Enrollment ID: I20150716003111 |
| Provider Name | Kimberly S Hoenecke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184068181 PECOS PAC ID: 3577786912 Enrollment ID: I20160329001039 |
| Provider Name | Susan Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760638886 PECOS PAC ID: 8729259544 Enrollment ID: I20161121001744 |
| Provider Name | Sabrina R Spets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376832451 PECOS PAC ID: 4183909559 Enrollment ID: I20170327001782 |
| Provider Name | Gbolahan D Oyinloye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255695888 PECOS PAC ID: 4385870757 Enrollment ID: I20170807002962 |
| Provider Name | George Manatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407144207 PECOS PAC ID: 3274762919 Enrollment ID: I20170818001464 |
| Provider Name | Susan R Brust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952415085 PECOS PAC ID: 3971545161 Enrollment ID: I20171127000936 |
| Provider Name | Jeffrey A Drexler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538145966 PECOS PAC ID: 3173600772 Enrollment ID: I20180116001336 |
| Provider Name | Jessica A Ryan-geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409485 PECOS PAC ID: 5193086643 Enrollment ID: I20180227000314 |
| Provider Name | Gregory M Varhely |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023246162 PECOS PAC ID: 2163714791 Enrollment ID: I20180514001411 |
| Provider Name | Dileep Borra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700292521 PECOS PAC ID: 4789932989 Enrollment ID: I20180803002307 |
| Provider Name | Kessa A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700171857 PECOS PAC ID: 5991055956 Enrollment ID: I20180912002511 |
| Provider Name | Sencan S Unal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326019985 PECOS PAC ID: 8325023526 Enrollment ID: I20190314001156 |
| Provider Name | Tiffany A Pluger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033574744 PECOS PAC ID: 7618204934 Enrollment ID: I20190809000548 |
| Provider Name | Daniel Hoppe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891228607 PECOS PAC ID: 8820337975 Enrollment ID: I20210601001436 |
| Provider Name | Waqas Yasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477075372 PECOS PAC ID: 4183963408 Enrollment ID: I20210601001802 |
| Provider Name | Jessica Dotson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538521844 PECOS PAC ID: 3678845997 Enrollment ID: I20210601002059 |
| Provider Name | Lindsay M Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790341279 PECOS PAC ID: 6901207331 Enrollment ID: I20210623001572 |
| Provider Name | James M Billings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528563400 PECOS PAC ID: 1557782406 Enrollment ID: I20210708000594 |
| Provider Name | Jean E Vogel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396883005 PECOS PAC ID: 7315961729 Enrollment ID: I20220105000298 |
| Provider Name | Michelle J Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427141563 PECOS PAC ID: 6608877469 Enrollment ID: I20220413002662 |
| Provider Name | Bennett E Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033596176 PECOS PAC ID: 4587985882 Enrollment ID: I20220629002877 |
| Provider Name | Mandy L Sikorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245727445 PECOS PAC ID: 7012389133 Enrollment ID: I20230217001112 |
| Provider Name | Esmeralda R Rawat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861896540 PECOS PAC ID: 6608240460 Enrollment ID: I20230316002455 |
| Provider Name | Kishan Nallapula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265710586 PECOS PAC ID: 3678708773 Enrollment ID: I20231023001311 |
| Provider Name | Tanya D Zaloudek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760578686 PECOS PAC ID: 2961854237 Enrollment ID: I20240123001356 |
| Provider Name | Cara M Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972001188 PECOS PAC ID: 3678925898 Enrollment ID: I20240123003308 |
| Provider Name | Sheryl A Hemp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265523682 PECOS PAC ID: 6800248030 Enrollment ID: I20240123003512 |
| Provider Name | Carrie A. Paisar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467651984 PECOS PAC ID: 0345683348 Enrollment ID: I20240207000196 |
| Provider Name | Laureann C Blanchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093159881 PECOS PAC ID: 5597749697 Enrollment ID: I20240219002712 |
| Provider Name | Melissa Niedfeldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902349509 PECOS PAC ID: 9638513195 Enrollment ID: I20240223000405 |
| Provider Name | Cassie M Graveen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134630965 PECOS PAC ID: 2961847124 Enrollment ID: I20240227002751 |
| Provider Name | Janis Southworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235562737 PECOS PAC ID: 9739524638 Enrollment ID: I20240301001642 |
| Provider Name | Christopher E. Hanke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467879296 PECOS PAC ID: 3971943796 Enrollment ID: I20240426002456 |
Aspirus Womens Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Pine Ridge Blvd, Suite 185, Wausau, WI 54401 Phone: 715-847-0477 Fax: 715-847-0409 | |
North Central Heatlh Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Marshall St Ste A, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Aspirus Perinatology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Plaza Dr, Suite 2100, Wausau, WI 54401 Phone: 715-847-2475 | |
Wausau Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Wind Ridge Dr, Wausau, WI 54401 Phone: 715-675-5201 | |
North Central Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Aspirus Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Pine Ridge Blvd, Suite 220a, Wausau, WI 54401 Phone: 715-847-2070 | |
Spine & Brain Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Westhill Dr, Suite 200, Wausau, WI 54401 Phone: 715-843-1000 Fax: 715-843-1001 |