# ORTHOPAEDIC CENTERS OF WISCONSIN S C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOPAEDIC CENTERS OF WISCONSIN S C
- **Other names:** Orthopaedic Associates of Wausau
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922453398
- **Legal business name:** ORTHOPAEDIC CENTERS OF WISCONSIN S C
- **Authorized official:** DEBORAH HOFFMAN (ADMINISTRATOR)
- **Authorized official phone:** (715) 907-0900

## Contact information

- **Practice address:** 3901 STEWART AVE, WAUSAU, WI 54401-3948
- **Practice address phone:** (715) 907-0900
- **Practice address fax:** (715) 803-6977
- **Mailing address:** 3901 STEWART AVE, WAUSAU, WI 54401-3948
- **Mailing address phone:** (715) 907-0900
- **Mailing address fax:** (715) 803-6977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | — | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 02/23/2026