Northwoods Family Orthopaedics, S.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHWOODS FAMILY ORTHOPAEDICS, S.C.

Practice address

502 Copper St
Suite 5
Hurley, WI 54534-1385

Phone

(715) 561-4795

Fax

(715) 561-4796

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Mark Balas, M.D., B.C.

Title

Owner/President

Phone

(715) 561-4795

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5096/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Gaylene Heaton, OT-SC

  • Surgical Assistant
  • Hurley, WI
  • NPI 1740701614
  NPD

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1043665508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COPPER ST",
            "address_2": "SUITE 5",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341385",
            "telephone_number": "715-561-4795",
            "fax_number": "715-561-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COPPER ST",
            "address_2": "SUITE 5",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341385",
            "telephone_number": "715-561-4795",
            "fax_number": "715-561-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS FAMILY ORTHOPAEDICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "BALAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "715-561-4795",
        "authorized_official_credential": "M.D., B.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103428375",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32226100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Livingston, REGISTERED NURSE
• Shannon Rae Lutz, LCSW
• Christian Mattingly
• Christina Musch, PTA
• Northwoods Family Orthopaedics S.C.
• Ifeoma F Nwoye, MD
• Grady O'Neill, MA
• Tracy Olkonen, MA-CCC-SLP
• Erik N Overby, B.S. PHARM
• Valerie Marie Rajala

• Durable Medical Equipment & Medical Supplies in Hurley, WI
• Providers in Hurley, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.