William Alexander Davies, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Pewaukee, WI
NPI 1104809458 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1104809458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 40014 (WI)
- Practice address
- N15W28300 Golf Rd
Pewaukee, WI 53072-4800 - Phone
- (262) 303-5055
- Fax
- (262) 303-5057
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Medical College of Wisconsin, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Associates of Wisconsin SC
Practice addresses (Care Compare)
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055
Hospital & facility affiliations
- Prohealth Home Care
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 18 |
| Knee replacement | 27 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100629000192 | WI | Practitioner - Orthopedic Surgery | 8426947334 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Wisconsin SC | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthopaedic Associates of Wisconsin, SC | Orthopaedic Surgery | Current |
Accepting new patients |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
285 S Moorland Rd
Brookfield, WI 53005
Phone (810) 331-0939
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
1231 S Rochester St
Ste 100
Mukwonago, WI 53149
N15W28300 Golf Rd
Pewaukee, WI 53072
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
Interoperability endpoints
- wdavies12023@direct.phci.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 40014 | WI | Yes |
Addresses
Primary practice location
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Mailing address
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104809458 | Medicaid | WI | |
| 32572800 | Medicaid | WI |
Other providers in Pewaukee, WI
- Kirsten Cull
- Frederick Dalangin
- Mary Colleen Daly
- Derek Scott Damrow
- Natalie Daniel
- Katelyn Ann Dawson
- DCP of Delafield (Milwaukee), LLC
- Deaf-Talk, Inc.
- Meredith Lynn Deback-Gast
- Elizabeth Marie Dellemann
All providers in Pewaukee, WI · Orthopaedic Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.