Active NPI
Sean Keane M.D. S.C.
- Orthopaedic Surgery Physician
- Milwaukee, WI
National Provider Identifier
1316968423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 17123-020
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30941800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Milwaukee, WI
- NPI 1689627507
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.