EAU CLAIRE GI ASSOCIATES SC NPI 1912078718

NPI Information

  • NPI: 1912078718
  • Provider Name: EAU CLAIRE GI ASSOCIATES SC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 52D0944482
  • Address: 4109 OAKWOOD HILLS PARKWAY
    EAU CLAIRE, WI
    ZIP 54701
  • Phone: (715) 552-7303

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NPI Details

EAU CLAIRE GI ASSOCIATES SC is a specialist in Eau Claire, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EAU CLAIRE GI ASSOCIATES SC NPI is 1912078718. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4109 OAKWOOD HILLS PARKWAY
EAU CLAIRE, WI
ZIP 54701-888
Phone: (715) 552-7303
Fax: (715) 552-7355

The provider's authorized official is Amy Fogeltanz .
The authorized official title is Practice Manager and has the following contact phone number (715) 552-7303.

The CLIA number assigned to this NPI record is 52D0944482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 5/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2174400000XSpecialist37801-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CH7600OTHERWISCONSINRAILROAD MEDICARE
2=========OTHERWISCONSINTAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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