Wisconsin Prosthetics & Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WISCONSIN PROSTHETICS & ORTHOTICS INC

Doing business as

NovaCare Prosthetics & Orthotics

Practice address

1105 Wittmann Dr
Menasha, WI 54952-3607

Phone

(920) 725-6200

Fax

(920) 725-6090

NPI assigned

Aug 20, 2006

Last updated

Mar 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin

Title

VP & Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NovaCare Prosthetics & Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wisconsin Prosthetics & Orthotics Inc

  dba NovaCare Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Sheboygan, WI
  • NPI 1346355252

  4183741317

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Wisc Ortho Appliance Co2 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.

• Wisconsin Prosthetics & Orthotics Inc

  dba NovaCare Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Sheboygan, WI
  • NPI 1346355252
  NPD tax ID

Member of 1

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

• Physiotherapy Associates Inc

  dba Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • Wilmington, DE
  • NPI 1346329026

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1023123098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WITTMANN DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523607",
            "telephone_number": "920-725-6200",
            "fax_number": "920-725-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41791800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianne M Williams, PT, DPT
• Holly D Wilson, APSW
• Wisco Dental, S.C. (Fox Valley Orthodontics)
• Wisconsin Eye Consultants S. C.
• Wisconsin Independent Living, Inc.
• Ashley B. Witlacil, SAC
• Julie Wockenfus, CSAC
• Michael J Wockenfus, D.D.S.
• Wojciech a. Gadowski, MD, SC
• Andrew Kenneth Wolff, DNP, APNP, FNP-C

• Prosthetic/Orthotic Supplier in Menasha, WI
• Providers in Menasha, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.