The Orthopaedic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE ORTHOPAEDIC SURGERY CENTER LLC

Practice address

N15W28300 Golf Rd
Pewaukee, WI 53072

Phone

(262) 303-5000

Fax

(262) 303-5006

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark E Smith

Title

Chief Adm Officer

Phone

(262) 303-5055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

The Orthopaedic Surgery Center LLCCCN 52C0001074

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

The Orthopaedic Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Orthopaedic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Pewaukee, WI
  • NPI 1982743530
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Prohealth Waukesha Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Waukesha, WI
  • NPI 1629056890

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A Foley, M.D.

  • Orthopaedic Hand Surgery Physician
  • Pewaukee, WI
  • NPI 1659467132
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1003976929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N15W28300 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724800",
            "telephone_number": "262-303-5000",
            "fax_number": "262-303-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N15W28300 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "53072",
            "telephone_number": "262-303-5000",
            "fax_number": "262-303-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF ADM OFFICER",
        "authorized_official_telephone_number": "262-303-5055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey D. Tempesta, C.AC
• Briana Rae Teschendorf
• Marlena Teuteberg, RN
• The Chiropractors, LLC
• The Healing Haven of Wisconsin LLC
• The Orthopaedic Surgery Center LLC
• Therapeutic Pathways, S.C.
• Alan Thiede, PA-C
• Kristin Elizabeth Thieneman, PHARM.D.
• Marcus Thoma, LAT

• Ambulatory Surgical Clinic/Center in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.