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DR. SALLY S. MATTINGLY M.D.
NPI 1558363366
Surgery in Wausau, WI

Active since August 11, 2005
2400 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 847-2022(715) 847-2775 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Sally S. Mattingly M.d. NPPES

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

DR. SALLY S. MATTINGLY M.D. (NPI 1558363366) is an individual surgery provider in Wausau, Wisconsin, licensed in Wisconsin (28953) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1558363366
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SALLY S. MATTINGLYCredential: M.D.
Location Address2400 PINE RIDGE BLVDWausau, WI 54401-7803
Mailing Address8 N Hill RdWausau, WI 54403-3671 · (715) 848-0196
Phone(715) 847-2022
Fax(715) 847-2775
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateJanuary 28, 2008
✔ NPI 1558363366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 28953
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2400 PINE RIDGE BLVD, Wausau, WI 54401
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Other Names 1

Former Name (1)Dr. Sally S. Sherard M.d.

Other Identifiers 2

Medicaid30859700WI
Medicare UPINB54884WI

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.

MS. KATHY LYNNE OBERMANN ANP-BC APNP
Nurse Practitioner
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022
DR. CORRINE BLUMLING MILLER M.D.
Surgery
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022
DR. CHARLES R. ALDEN M.D.
Surgery
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022
TIFFANY ANN MILLER APRN
Nurse Practitioner
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022
DR. PAUL JOSEPH CHESTOVICH M.D.
Surgery
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022
LINDA BLUME CST/CSFA
Specialist/Technologist, Other (Surgical Assistant)
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022
SYDNEY ELIZABETH MOOTZ PA-C
Physician Assistant
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022
DANA DEMEIO CSFA
Specialist/Technologist, Other (Surgical Assistant)
2400 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2022

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 Sally Mattingly's NPI number?

The NPI number for Sally Mattingly is 1558363366. It was assigned to this individual provider in the NPPES registry on August 11, 2005. The provider is also known as Dr. Sally S. Sherard M.D..

Where is Sally Mattingly located?

Sally Mattingly practices at 2400 Pine Ridge Blvd, Wausau, WI 54401. The listed phone number is (715) 847-2022.

What is Sally Mattingly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Sally Mattingly was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.