THEODORE ARTHUR ZAMZOW DO
NPI 1164125787
Student in an Organized Health Care Education/Training Program in Wausau, WI

Active since March 23, 2023PECOS Enrolled
425 WIND RIDGE DR, WAUSAU, WI 54401(715) 675-3391 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Arthur Zamzow Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE ARTHUR ZAMZOW DO (NPI 1164125787) is an individual student in an organized health care education/training program in Wausau, Wisconsin and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164125787
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHEODORE ARTHUR ZAMZOWCredential: DO
Location Address425 WIND RIDGE DRWausau, WI 54401-4149
Mailing Address425 Wind Ridge DrWausau, WI 54401-4149 · (715) 675-3391
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 23, 2023
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1164125787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
425 WIND RIDGE DR, Wausau, WI 54401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theodore Arthur Zamzow Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274029210
PECOS Enrollment IDI20251230000916
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
425 WIND RIDGE DR
WAUSAU, WI 54401
Clinic/Center (Multi-Specialty)
425 WIND RIDGE DR
WAUSAU, WI 54401
Family Medicine
425 WIND RIDGE DR
WAUSAU, WI 54401
Pharmacist
425 WIND RIDGE DR
WAUSAU, WI 54401
Student in an Organized Health Care Education/Training Program
425 WIND RIDGE DR
WAUSAU, WI 54401
Psychiatry & Neurology (Psychiatry)
425 WIND RIDGE DR
WAUSAU, WI 54401
Family Medicine
425 WIND RIDGE DR
WAUSAU, WI 54401
Pharmacist
425 WIND RIDGE DR
WAUSAU, WI 54401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Zamzow's NPI number?

The NPI number for Theodore Zamzow is 1164125787. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Theodore Zamzow located?

Theodore Zamzow practices at 425 Wind Ridge Dr, Wausau, WI 54401. The listed phone number is (715) 675-3391.

What is Theodore Zamzow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Theodore Zamzow enrolled in Medicare?

Yes. Theodore Zamzow is registered in the Medicare PECOS enrollment system.

Is Theodore Zamzow affiliated with any hospitals?

According to CMS data, Theodore Zamzow is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Zamzow was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.