Organization Active NPI

Milwaukee Orthopaedic Group LTD

  • Specialist
  • Mequon, WI
National Provider Identifier
1043373178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MILWAUKEE ORTHOPAEDIC GROUP LTD
Practice address
13133 N Port Washington Rd
Suite 104
Mequon, WI 53097-2419
Phone
(414) 276-6000
Fax
(414) 276-1758
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Berni J Kowalski
Title
Administrative Assistant
Phone
(414) 276-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

13133 N Port Washington Rd
Suite 104
Mequon, WI 53097-2419

Mailing address

1218 W Kilbourn Ave
Suite 301
Milwaukee, WI 53233-1330
Phone (414) 276-6000

Other identifiers 1

IdentifierTypeStateIssuer
32734800MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Milwaukee Orthopaedic Group2 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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043373178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W KILBOURN AVE",
            "address_2": "SUITE 301",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331330",
            "telephone_number": "414-276-6000",
            "fax_number": "414-276-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 N PORT WASHINGTON RD",
            "address_2": "SUITE 104",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972419",
            "telephone_number": "414-276-6000",
            "fax_number": "414-276-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE ORTHOPAEDIC GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "BERNI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "414-276-6000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32734800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.