Organization Active NPI

Sean Keane M.D. S.C.

  • Orthopaedic Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1316968423
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
17123-020 Issued in WI
Legal business name
SEAN KEANE M.D. S.C.
Practice address
2315 N Lake Dr
Suite 803
Milwaukee, WI 53211-4518
Phone
(414) 277-1115
Fax
(414) 277-1126
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Sean Keane, M.D.
Title
Owner
Phone
(414) 277-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 17123-020 WI Primary

Addresses

Primary practice location

2315 N Lake Dr
Suite 803
Milwaukee, WI 53211-4518

Mailing address

2315 N Lake Dr
Suite 803
Milwaukee, WI 53211-4518
Phone (414) 277-1115

Other identifiers 1

IdentifierTypeStateIssuer
30941800MedicaidWI

National Provider Directory

National Provider Directory

Locations

2315 N Lake Dr
#803
Milwaukee, WI 53211
Phone (414) 277-1115

2315 N Lake Dr
Ste 803
Milwaukee, WI 53211
Phone (414) 277-1115

2015 E Newport Ave
Ste 800
Milwaukee, WI 53211
Phone (414) 277-1170

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1316968423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N LAKE DR",
            "address_2": "SUITE 803",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114518",
            "telephone_number": "414-277-1115",
            "fax_number": "414-277-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N LAKE DR",
            "address_2": "SUITE 803",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114518",
            "telephone_number": "414-277-1115",
            "fax_number": "414-277-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN KEANE M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-277-1115",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "17123-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30941800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.