Midwest Spine Center SC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

MIDWEST SPINE CENTER SC

Practice address

525 W River Woods Pkwy Ste 240
Glendale, WI 53212-1010

Phone

(414) 807-6128

NPI assigned

Feb 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. James E Stoll Jr., MDNPI 1790713527

Title

President

Phone

(414) 807-6128

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Spinal Center SC Former legal business name

Electronic endpoints 1

Practitioners 1

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

• James Edwin Stoll Jr., MD

  • Orthopaedic Surgery Physician
  • Glendale, WI
  • NPI 1790713527
  NPD Authorized official

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1336733534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E LAKE HILL CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174351",
            "telephone_number": "414-807-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 240",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-807-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPINE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-807-6128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "26052",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "339-207-0541",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "labs",
            "address_1": "525 W River Woods Pkwy Ste 240",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532121010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Midwest Spinal Center SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katelyn Ruth Michals, L.AC.
• Austin Hugh Middleton, MD
• Donald Kevin Middleton, MD
• Midwest Dialysis Center, Inc
• Midwest Interventional Pain and Diagnostics
• Konstantin Y Mikhailov, MD
• Marisa K Miller
• Milwaukee Family Chiropractic
• Milwaukee Occupational Medicine SC
• Catherine C Mingo, MD

• Orthopaedic Surgery of the Spine Physician in Glendale, WI
• Providers in Glendale, WI by specialty
• Orthopaedic Surgery of the Spine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.