Active NPI
Prosthetic Orthotic Center
- Prosthetic/Orthotic Supplier
- Minocqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PROSTHETIC ORTHOTIC CENTER
- Practice address
- 9815 Hwy 70 Ste 101
Minocqua, WI 54548-9769 - Phone
- (715) 356-3377
- Fax
- (715) 845-6310
- NPI assigned
- Oct 6, 2008
- Last updated
- Jul 3, 2012
- 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
- Mr. Robert Karl Lotz, CPO, FAAOP
- Title
- President
- Phone
- (715) 432-7787
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
9815 Hwy 70 Ste 101
Minocqua, WI 54548-9769
Mailing address
1108 S 17TH Ave
Wausau, WI 54401-5709
Phone (715) 845-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41782800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
9815 Highway 70
#101
Minocqua, WI 54548
Phone (715) 356-3377
2926 Post Rd
Stevens Point, WI 54481
Phone (715) 341-9280
2600 Stewart Ave
Ste 30
Wausau, WI 54401
Phone (715) 848-0650
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Prosthetist
- Wausau, WI
- NPI 1093802027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341273600000",
"number": "1316198682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 S 17TH AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544015709",
"telephone_number": "715-845-2800",
"fax_number": "715-845-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 HWY 70 STE 101",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545489769",
"telephone_number": "715-356-3377",
"fax_number": "715-845-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHETIC ORTHOTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2012-07-03",
"status": "A",
"authorized_official_last_name": "LOTZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "KARL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-432-7787",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO, FAAOP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41782800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minocqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.