MARK J MIRICK MD
NPI 1528129426
Emergency Medicine in Wausau, WI
NPI Status: Active since December 13, 2006
Contact Information
333 PINE RIDGE BLVD
WAUSAU, WI
ZIP 54401
Phone: (715) 847-2121
- Individual
- Male
- Emergency Medicine
About MARK MIRICK
This page provides the complete NPI Profile along with additional information for Mark Mirick, a provider established in Wausau, Wisconsin with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1528129426 assigned on December 2006. The practitioner's primary taxonomy code is 207P00000X with license number 24727 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1528129426
- Provider Name
- MARK J MIRICK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 333 PINE RIDGE BLVD WAUSAU, WI 54401
- Location Phone
- (715) 847-2121
- Mailing Address
- PO BOX 1008 WAUSAU, WI 54402
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24727
- License State
- WI
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30456600 | MEDICAID (05) | WI | |
| B55151 | MEDICARE UPIN (02) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 1 | 2 | 9 | 4 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 2 | 2 | 18 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 2 + 2 + 1 + 8 + 4 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1528129426 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396708590 | JANE DETERT PTA Individual | Physical Therapy Assistant | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2826 |
| 1518992445 | EILEEN S GAVIN M.D. Individual | Family Medicine | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2505 |
| 1245255090 | SARAH J BECKER PA Individual | Physician Assistant | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2262 |
| 1801816889 | MICHAEL J BLICK MD Individual | Internal Medicine | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2262 |
| 1912927880 | KATHERINE MARIE THURS APNP Individual | Nurse Practitioner | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2837 |
| 1306868294 | DR. DOUGLAS EDWARD RAMSEY M.D. Individual | Radiology (Diagnostic Radiology) | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2283 |
| 1700897535 | CHRISTOPHER G PETERSON MD Individual | Internal Medicine (Hematology & Oncology) | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2866 |
| 1659382497 | HAMIED R REZAZADEH MD Individual | Internal Medicine (Hematology & Oncology) | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2866 |
| 1548375017 | KRISTINE EDAHL MA CCC Individual | Speech-Language Pathologist | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2600 |
| 1144313529 | JULIE H LUKS MD Individual | Obstetrics & Gynecology | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-0477 |
| 1912068982 | THOMAS A KOEPKE MD Individual | Emergency Medicine | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2121 |
| 1538220413 | SCOTT D HOWELLS MD Individual | Emergency Medicine | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2121 |
| 1194886044 | WINSTON D RYAN MD Individual | Emergency Medicine | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2121 |
| 1982765806 | THOMAS L NIELSEN MD Individual | Emergency Medicine | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2121 |
| 1629139548 | GREGORY OBST MD Individual | Emergency Medicine | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2304 |
| 1740346618 | DEBORAH LYNN WOLFE MS, CCC-SLP Individual | Speech-Language Pathologist | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2826 |
| 1477619294 | LUCILLE MICHELLE BENSON C.O.T.A. Individual | Occupational Therapy Assistant | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2826 |
| 1588720486 | KAREN ANN STRUNK C.O.T.A. Individual | Occupational Therapy Assistant | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2826 |
| 1497811319 | CECELIA ANN DIETRICH MS, CCC-SLP Individual | Speech-Language Pathologist | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2826 |
| 1417013145 | HOWARD ANDREW RICE P.T. Individual | Physical Therapist | 333 PINE RIDGE BLVD WAUSAU, WI 54401 (715) 847-2826 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528129426, enumerated in the NPI registry as an "individual" on December 13, 2006
The provider is located at 333 Pine Ridge Blvd Wausau, Wi 54401 and the phone number is (715) 847-2121
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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