NPIMap

Organization Active NPI

Wisconsin River Orthopaedics, LTD.

  • Orthopaedic Surgery Physician
  • Wisconsin Rapids, WI
National Provider Identifier
1144274390
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WISCONSIN RIVER ORTHOPAEDICS, LTD.
Practice address
140 24TH St S
Wisconsin Rapids, WI 54494-1906
Phone
(715) 424-1881
Fax
(715) 423-1602
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Roger P Dillon
Title
Practice Administrator
Phone
(715) 424-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

140 24TH St S
Wisconsin Rapids, WI 54494-1906

Mailing address

PO Box 8005
Wisconsin Rapids, WI 54495-8005
Phone (715) 424-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060726000232 WI Part B Supplier - Clinic/Group Practice 4880607431 Receives reassigned benefits from 20 practitioners
Practice locations: Black River Falls, WI; Friendship, WI; Wisconsin Rapids, WI
O20100930065082 WI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4880607431 Practice locations: Wisconsin Rapids, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1144274390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958005",
            "telephone_number": "715-424-1881",
            "fax_number": "715-423-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 24TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544941906",
            "telephone_number": "715-424-1881",
            "fax_number": "715-423-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN RIVER ORTHOPAEDICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "715-424-1881"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.