WAUSHARA FAMILY PHYSICIANS
NPI 1710018817
Non-Pharmacy Dispensing Site in Wild Rose, WI

Active since March 08, 2007
701 GROVE AVE, WILD ROSE, WI 54984(920) 622-6013(920) 774-1026 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waushara Family Physicians NPPES

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

WAUSHARA FAMILY PHYSICIANS (NPI 1710018817) is a healthcare organization registered as a non-pharmacy dispensing site in Wild Rose, Wisconsin and active in the NPI registry since March 2007. The organization lists Jenifer Danzeisen, Clinic Manager/ Director Of Nu, as its authorized official.

NPPES Registry Identity

NPI1710018817
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTHEDACARE MEDICAL CENTER - WILD ROSE, INC
Location Address701 GROVE AVEWild Rose, WI 54984-6901
Mailing AddressPo Box 314Wild Rose, WI 54984-0314
Fax(920) 774-1026
Organization SubpartNo
Authorized OfficialJenifer DanzeisenClinic Manager/ Director Of Nu · (920) 622-5564
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 31, 2015
NPI 1710018817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in WI · 47322-20
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

701 GROVE AVE, Wild Rose, WI 54984

Other Names 1

Doing Business AsWaushara Family Physicians

Other Identifiers 1

Other2115407Pk

Accepted Insurance

Other Providers at the Same Location NPPES 11

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

Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Nurse Practitioner
701 GROVE AVE
WILD ROSE, WI 54984
Nurse Practitioner
701 GROVE AVE
WILD ROSE, WI 54984
Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Emergency Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Physician Assistant
701 GROVE AVE
WILD ROSE, WI 54984
Nurse Practitioner (Family)
701 GROVE AVE
WILD ROSE, WI 54984

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 Thedacare Medical Center - Wild Rose, Inc's NPI number?

The NPI number for Thedacare Medical Center - Wild Rose, Inc is 1710018817. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Waushara Family Physicians.

Where is Thedacare Medical Center - Wild Rose, Inc located?

Thedacare Medical Center - Wild Rose, Inc is located at 701 Grove Ave, Wild Rose, WI 54984. The listed phone number is (920) 622-6013.

What is Thedacare Medical Center - Wild Rose, Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Thedacare Medical Center - Wild Rose, Inc accept?

Health plans from CareSource (Common Ground Healthcare) list Thedacare Medical Center - Wild Rose, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thedacare Medical Center - Wild Rose, Inc was last updated on July 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.