Organization Active NPI

Milwaukee Clinic of Ortho Surgery, LTD.

  • Orthopaedic Surgery Physician
  • Franklin, WI
National Provider Identifier
1295788743
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32738000MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.