NPIMap

Organization Active NPI

Orthopedic Surgeons of Wisconsin, S.C.

  • Orthopaedic Surgery Physician
  • Wauwatosa, WI
National Provider Identifier
1295769321
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC SURGEONS OF WISCONSIN, S.C.
Practice address
3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone
(414) 384-6700
Fax
(414) 727-1058
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Jennifer Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Orthopaedic Trauma PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0801X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305

Mailing address

3111 W Rawson Ave Ste 200
Franklin, WI 53132-8890
Phone (414) 384-6700

Other practice location 1

3111 W Rawson Ave Ste 200
Franklin, WI 53132-8890
Phone (414) 384-6700

Other identifiers 1

IdentifierTypeStateIssuer
21271200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001176 WI Part B Supplier - Clinic/Group Practice 5294727152 Receives reassigned benefits from 79 practitioners
Practice locations: Franklin, WI; Wauwatosa, WI; Mount Pleasant, WI; Milwaukee, WI; Mequon, WI; Brookfield, WI; Cudahy, WI; Greenfield, WI

National Provider Directory

National Provider Directory

Locations

13950 W Capitol Dr
Fl 1
Brookfield, WI 53005

9969 S 27th St
#1100
Franklin, WI 53132

10101 S 27th St
Fl 1
Franklin, WI 53132

9969 S 27th St
Ste 1100
Franklin, WI 53132

3111 W Rawson Ave
Ste 205
Franklin, WI 53132

3111 W Rawson Ave
Ste 235
Franklin, WI 53132
Phone (414) 325-4370

9969 S 27th St
Ste 100
Franklin, WI 53132

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

10101 S 27th St
Fl 3
Franklin, WI 53132
Phone (414) 325-4920

3237 S 16th St
Fl 5
Milwaukee, WI 53215
Phone (414) 391-5710

2500 W Layton Ave
Ste 160
Milwaukee, WI 53221
Phone (414) 389-3023

3237 S 16th St
#210
Milwaukee, WI 53215

10180 Washington Ave
#200
Mount Pleasant, WI 53177

2323 N Mayfair Rd
Ste 310
Wauwatosa, WI 53226
Phone (414) 771-5080

2323 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 443-9862

Practitioners & affiliated clinicians

Practitioners 99

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

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1295769321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W RAWSON AVE STE 200",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328890",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 W Rawson Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328890",
            "country_code": "US",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGEONS OF WISCONSIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21271200",
            "state": "WI"
        }
    ],
    "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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.