SURGICAL ASSOCIATES, SC
NPI 1205515491
Physician Assistant in Wausau, WI

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363A00000X.

Active since July 14, 2023CLIA 52D2223710 · Waiver

2400 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 847-2022(715) 847-2775 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Surgical Associates, Sc NPPES

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

SURGICAL ASSOCIATES, SC (NPI 1205515491) is a healthcare organization registered as a physician assistant in Wausau, Wisconsin and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Kayanne Lehman, Access Manager, as its authorized official.

NPPES Registry Identity

NPI1205515491

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameSURGICAL ASSOCIATES, SC

Location Address2400 PINE RIDGE BLVDWausau, WI 54401-7803

Mailing Address2400 Pine Ridge BlvdWausau, WI 54401-7803 · (715) 847-2022 · Fax (715) 847-2775

Phone(715) 847-2022

Fax(715) 847-2775

Organization SubpartNo

Authorized OfficialKayanne LehmanAccess Manager · (715) 847-2022

Enumeration DateJuly 14, 2023

NPPES CertifiedJuly 14, 2023

✔ NPI 1205515491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2400 PINE RIDGE BLVD, Wausau, WI 54401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2223710

Surgical Associates · Wausau, WI

Active · expires May 9, 2027

CLIA Number52D2223710

Laboratory TypeOffice Based Procedure Ce

Certificate Effective DateMay 10, 2025

Certificate Expiration DateMay 9, 2027

Laboratory DirectorDr. Robert Brebrick

Laboratory Phone(715) 847-2022

Laboratory LocationSurgical Associates2606 Stewart Ave Ste 100, Wausau, WI 54401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

DR. JAMES P. BINDER M.D.

Surgery