Milwaukee Clinic of Ortho Surgery LTD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MILWAUKEE CLINIC OF ORTHO SURGERY LTD

Doing business as

Milwaukee Clinic of Orthopedic Surgery

Practice address

19035 W Capitol Dr
Suite 101
Brookfield, WI 53045-2755

Phone

(414) 321-8960

Fax

(414) 321-0632

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Mary J Banach

Title

Administrator

Phone

(414) 321-8960

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Milwaukee Clinic of Orthopedic Surgery Doing business as

Practitioners 5

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

• Mark A. Bauer, M.D.

  • Orthopaedic Surgery Physician
  • Milwaukee, WI
  • NPI 1700834884
  NPD (past)
• Michael Edward Kokat, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Burlington, WI
  • NPI 1780607200
  NPD (past)
• Jeffrey Lee Minikel, MD

  • Orthopaedic Surgery Physician
  • Shawano, WI
  • NPI 1114907011
  NPD (past)
• James Allen Rydlewicz, MD

  • Orthopaedic Surgery Physician
  • Milwaukee, WI
  • NPI 1922086032
  NPD (past)
• Craig Edward Moe, MD

  • Orthopaedic Surgery Physician
  • Davenport, IA
  • NPI 1275512790
  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1215169073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 W MORGAN AVE",
            "address_2": "SUITE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532201541",
            "telephone_number": "414-321-8960",
            "fax_number": "414-321-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "SUITE 101",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "414-321-8960",
            "fax_number": "414-321-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE CLINIC OF ORTHO SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "BANACH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-321-8960",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41716700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milwaukee Clinic of Orthopedic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stevie Miller
• Gregory Scott Milleville, M.D.
• Robin Marie Mills, PHYSICAL THERAPIST
• Jacob J Milosavljevic
• Keonda Milton
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Surgeons SC
• Milwaukee Nephrology Care Inc
• Milwaukee Psychiatric Physicians Chartered

• Orthopaedic Surgery Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.