Fvosa Surgical Partners, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FVOSA SURGICAL PARTNERS, LLC

Doing business as

Orthopedic & Sports Surgery Center

Practice address

2105 E. Enterprise Ave.
Suite 101
Appleton, WI 54913

Phone

(920) 560-1100

Fax

(920) 560-1112

NPI assigned

Jun 16, 2006

Last updated

Jul 21, 2022By 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

Dr. J. David Kuplic, M.D.

Title

President of Fvosa

Phone

(920) 731-6611

Specialties & licenses 1

Addresses

Other names 1

• Orthopedic & Sports Surgery Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Orthopedic and Sports Surgery CenterCCN 52C0001065

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

• Chris M Weinlander, MD

  • Anesthesiology Physician
  • Appleton, WI
  • NPI 1457351769
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043254162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E. ENTERPRISE AVE.",
            "address_2": "SUITE 101",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-560-1100",
            "fax_number": "920-560-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E. ENTERPRISE AVE.",
            "address_2": "SUITE 101",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-560-1100",
            "fax_number": "920-560-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVOSA SURGICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "KUPLIC",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT OF FVOSA",
        "authorized_official_telephone_number": "920-731-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mychart.com/",
            "affiliation": "Y",
            "affiliationName": "Epic Health Services, Inc.",
            "address_1": "7440 Viscount Boulvard",
            "address_2": "Suite 200",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Orthopedic & Sports Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic & Sports Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya M Fuller, PT
• Wendy Jo Fuller, PT
• Gabrielle Funk, RBT
• Jenna Lee Funk, LPN
• Fvatp Integrated Services, LLC
• Michael J Gabler, D.D.S., M.S.
• Melissa Gabriel, MSW, APSW, CSAC
• Kelsey E Gaffney, PA
• Jeremiah Gagnon, RBT
• Teresa Marie Gajewski, PA

• Ambulatory Surgical Clinic/Center in Appleton, WI
• Providers in Appleton, 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 Jul 21, 2022; 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.