NPIMap

Organization Active NPI

Integrated Spine Care, S.C.

  • Orthopaedic Surgery of the Spine Physician
  • Wauwatosa, WI
National Provider Identifier
1245212414
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
574150-9 Issued in WI
Legal business name
INTEGRATED SPINE CARE, S.C.
Practice address
601 N 99TH St
Suite 101
Wauwatosa, WI 53226-4339
Phone
(414) 988-5100
Fax
(414) 988-5102
NPI assigned
Nov 15, 2005
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Clay Jamison Frank, MD
Title
President
Phone
(414) 988-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 574150-9 WI Primary

Addresses

Primary practice location

601 N 99TH St
Suite 101
Wauwatosa, WI 53226-4339

Mailing address

601 N 99TH St
Suite 101
Wauwatosa, WI 53226-4339
Phone (414) 988-5100

National Provider Directory

National Provider Directory

Locations

2801 W Kinnickinnic River Pkwy
Ste 440
Milwaukee, WI 53215
Phone (414) 385-2700

2801 W KK Pkwy
Ste 440
Milwaukee, WI 53215
Phone (414) 385-2700

601 N 99th St
Ste 101
Wauwatosa, WI 53226
Phone (414) 988-5100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1245212414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 99TH ST",
            "address_2": "SUITE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264339",
            "telephone_number": "414-988-5100",
            "fax_number": "414-988-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 99TH ST",
            "address_2": "SUITE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264339",
            "telephone_number": "414-988-5100",
            "fax_number": "414-988-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPINE CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "JAMISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-988-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WI",
            "license": "574150-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.