Active NPI
Milwaukee Orthopaedic Group LTD
- Specialist
- Mequon, WI
National Provider Identifier
1043373178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32734800 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Milwaukee Orthopaedic Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Milwaukee, WI
- NPI 1447284799
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
- Milwaukee Counseling Center LLC
- Milwaukee Ear Nose Throat Clinic Limited
- Milwaukee ENT Speech & Hearing Aid Service
- Milwaukee Hand Center S C
- Milwaukee Hearing Center LLC
- Milwaukee Recovery Associates LLC
- Mind Matters Psychological Services, S.C.
- Mind Neurology Wisconsin SC
- Mindful Rejuvenation Mental Health Counseling LLC
- Paul Minor, MD
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.