Organization Active NPI

Ovation Hand Institute-Wisconsin, SC.

  • Orthopaedic Hand Surgery Physician
  • Mequon, WI
National Provider Identifier
1144797614
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
OVATION HAND INSTITUTE-WISCONSIN, SC.
Practice address
10532 N Port Washington Rd
Mequon, WI 53092-5563
Phone
(844) 432-1600
Fax
(920) 915-9210
NPI assigned
Nov 1, 2018
Organization subpart
Yes
Parent organization
OVATION HAND INSTITUTE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Tarrah O'DonnellNPI 1114462728
Title
PA-C
Phone
(844) 432-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X

Addresses

Primary practice location

10532 N Port Washington Rd
Mequon, WI 53092-5563

Mailing address

10532 N Port Washington Rd Ste 1a
Mequon, WI 53092-5563
Phone (844) 432-1600

Other practice location 1

2593 Development Dr
Green Bay, WI 54311-4269
Phone (844) 432-1600

Other names 1

  • Ovation Hand Institute Doing business as

National Provider Directory

National Provider Directory
Part of
Ovation Hand Institute LLC

Locations

7456 S State Rd
Ste 205
Chicago, IL 60638

2593 Development Dr
Ste 270
Green Bay, WI 54311

10532 N Port Washington Rd
Ste 1
Mequon, WI 53092

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1144797614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 N PORT WASHINGTON RD STE 1A",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925563",
            "telephone_number": "844-432-1600",
            "fax_number": "262-302-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10532 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925563",
            "telephone_number": "844-432-1600",
            "fax_number": "920-915-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2593 Development Dr",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543114269",
            "country_code": "US",
            "telephone_number": "844-432-1600",
            "fax_number": "920-915-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OVATION HAND INSTITUTE-WISCONSIN, SC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVATION HAND INSTITUTE, LLC",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "TARRAH",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "844-432-1600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovation Hand Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ovation Hand Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 5, 2024; 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.