NPIMap

Organization Active NPI

Alliance ENT & Hearing Center, S.C.

Doing business as Winner's Edge Performance Clinic

  • Sleep Medicine (Otolaryngology) Physician
  • Pewaukee, WI
National Provider Identifier
1003320417
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
Legal business name
ALLIANCE ENT & HEARING CENTER, S.C.
Doing business as
Winner's Edge Performance Clinic
Practice address
1251 E Wisconsin Ave
Pewaukee, WI 53072-3755
Phone
(262) 696-9096
NPI assigned
Nov 21, 2017
Last updated
Nov 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLIANCE ENT & HEARING CENTER, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony A Rieder, MDNPI 1710989090
Title
President
Phone
(414) 727-0910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) Physician 207YS0012X NU Primary

Addresses

Primary practice location

1251 E Wisconsin Ave
Pewaukee, WI 53072-3755

Mailing address

201 N Mayfair Rd Ste 515
Wauwatosa, WI 53226-4216
Phone (414) 727-0910

Other names 1

  • Winner's Edge Performance Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alliance ENT and Hearing Center SC5 organizations share this tax ID, including this one
Part of
Alliance ENT and Hearing Center SC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1251 E Wisconsin Ave
Pewaukee, WI 53072
Phone (262) 696-9096

201 N Mayfair Rd
Ste 515
Wauwatosa, WI 53226
Phone (414) 232-3947

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1003320417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAYFAIR RD STE 515",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264216",
            "telephone_number": "414-727-0910",
            "fax_number": "414-727-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E WISCONSIN AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723755",
            "telephone_number": "262-696-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ENT & HEARING CENTER, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE ENT & HEARING CENTER, S.C.",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "RIEDER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-727-0910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winner's Edge Performance Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.