Active NPI
Milwaukee Clinic of Ortho Surgery, LTD.
- Orthopaedic Surgery Physician
- Franklin, WI
National Provider Identifier
1295788743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MILWAUKEE CLINIC OF ORTHO SURGERY, LTD.
- Practice address
- 7400 W Rawson Ave
Suite 125
Franklin, WI 53132-8278 - Phone
- (414) 321-8960
- Fax
- (414) 321-0632
- NPI assigned
- May 18, 2006
- Last updated
- Feb 6, 2014
- 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
- Ms. Mary J. Banach
- Title
- Administrator
- Phone
- (414) 321-8960
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WI | ||
| Orthopaedic Surgery Physician | 207X00000X | WI | Primary | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | WI |
Addresses
Primary practice location
7400 W Rawson Ave
Suite 125
Franklin, WI 53132-8278
Mailing address
7400 W Rawson Ave
Suite 125
Franklin, WI 53132-8278
Phone (414) 321-8960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32738000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
7400 W Rawson Ave
Ste 125
Franklin, WI 53132
Phone (414) 321-8960
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Orthopaedic Surgery Physician
- Milwaukee, WI
- NPI 1700834884
-
- Foot & Ankle Surgery Podiatrist
- Burlington, WI
- NPI 1780607200
-
- Orthopaedic Surgery Physician
- Shawano, WI
- NPI 1114907011
-
- Orthopaedic Surgery Physician
- Davenport, IA
- NPI 1275512790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391644800000",
"number": "1295788743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 W RAWSON AVE",
"address_2": "SUITE 125",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328278",
"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": "7400 W RAWSON AVE",
"address_2": "SUITE 125",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328278",
"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": "2006-05-18",
"last_updated": "2014-02-06",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32738000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, WI
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Orthopedic Specialty Hospital, LLC
- Andrea Agnes Miklosi, PA-C
- Douglas Milosavljevic, M.D.
- Milwaukee Eye Care Associates S.C.
- Milwaukee Sports Therapy
- Milwaukee Surgical Specialists SC
- Milwaukee Surgical Suites, LLC
- Milwaukee Surgicenter LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.