NPIMap

Organization Active NPI

M Ortho, SC

  • Orthopaedic Surgery Physician
  • Cedarburg, WI
National Provider Identifier
1295127298
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
41376 Issued in WI
Legal business name
M ORTHO, SC
Practice address
W62 N179 Washington Ave
Suite 3
Cedarburg, WI 53012-2726
Phone
(262) 641-3700
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Dr. Kristen Maskala, M.D.
Title
Owner
Phone
(262) 641-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 41376 WI Primary

Addresses

Primary practice location

W62 N179 Washington Ave
Suite 3
Cedarburg, WI 53012-2726

Mailing address

PO Box 410
Brookfield, WI 53008-0410

National Provider Directory

National Provider Directory

Locations

W62N179 Washington Ave
Ste 3
Cedarburg, WI 53012
Phone (262) 618-2228

88374 Box
Milwaukee, WI 53288

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1295127298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62 N179 WASHINGTON AVE",
            "address_2": "SUITE 3",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122726",
            "telephone_number": "262-641-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ORTHO, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "MASKALA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-641-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "41376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.