Active NPI
Oaw ASC, LLC
- Ambulatory Surgical Clinic/Center
- Waukesha, WI
National Provider Identifier
1164572863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- OAW ASC, LLC
- Practice address
- 1111 Delafield St
Waukesha, WI 53188-3417 - Phone
- (262) 650-7406
- Fax
- (262) 544-6820
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark E. Smith, SPHR
- Title
- Chief Administrative Officer
- Phone
- (262) 650-7406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | WI | Primary |
Addresses
Primary practice location
1111 Delafield St
Waukesha, WI 53188-3417
Mailing address
W 238 - N 1610 Busse Rd.
Pewaukee, WI 53072
Phone (262) 650-7406
Other names 1
- The Orthopedic Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164572863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W 238 - N 1610 BUSSE RD.",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "53072",
"telephone_number": "262-650-7406",
"fax_number": "262-544-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883417",
"telephone_number": "262-650-7406",
"fax_number": "262-544-6820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAW ASC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "262-650-7406",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SPHR"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Orthopedic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.