Active NPI
Ovation Hand Institute-Wisconsin, SC.
- Orthopaedic Hand Surgery Physician
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- 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, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tarrah O'Donnell
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Surgery of the Hand (Plastic Surgery) Physician | 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
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.
-
- Physician Assistant
- Chicago, IL
- NPI 1114462728
-
- Medical Physician Assistant
- Grafton, WI
- NPI 1396830451
-
- Physician Assistant
- Green Bay, WI
- NPI 1316117500
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.