Provider Demographics
NPI:1033286711
Name:ASPIRUS SPECIALIST INC.
Entity Type:Organization
Organization Name:ASPIRUS SPECIALIST INC.
Other - Org Name:STEVENS POINT ORTHOPAEDICS...AN ASPIRUS PARTNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:F
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:DANNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-847-2975
Mailing Address - Street 1:PO BOX 1223
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54402-1223
Mailing Address - Country:US
Mailing Address - Phone:715-847-2304
Mailing Address - Fax:
Practice Address - Street 1:4005 COMMUNITY CENTER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-4139
Practice Address - Country:US
Practice Address - Phone:715-241-5470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPIRUS SPECIALISTS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-29
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5465450002OtherDMERC POS
WI21306300Medicaid
WICI5094OtherMEDICARE RAILROAD
WI21306300Medicaid
WI=========007OtherTRICARE
WI5465450002Medicare Oscar/Certification
WI5465450002OtherDMERC POS
WICI5094Medicare Oscar/Certification
WI21306300Medicaid
WI000039310Medicare PIN