NPIMap

Organization Active NPI

Northern Wisconsin Bone and Joint Center

  • Orthopaedic Surgery Physician
  • Woodruff, WI
National Provider Identifier
1386828549
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NORTHERN WISCONSIN BONE AND JOINT CENTER
Practice address
611 Veterans Parkway
Woodruff, WI 54568
Phone
(715) 358-8600
NPI assigned
Dec 24, 2007
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Lisa Marie Tadych
Title
Corporate Secretary
Phone
(715) 358-1911

Specialties & licenses 1

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

Addresses

Primary practice location

611 Veterans Parkway
Woodruff, WI 54568

Mailing address

7520 US Highway 51 S
Ste a
Minocqua, WI 54548-8944
Phone (715) 358-1911

National Provider Directory

National Provider Directory
Tax ID family
Northern Wisconsin Bone Joint5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1386828549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 US HIGHWAY 51 S",
            "address_2": "STE A",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488944",
            "telephone_number": "715-358-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 VETERANS PARKWAY",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "54568",
            "telephone_number": "715-358-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WISCONSIN BONE AND JOINT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "TADYCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "715-358-1911"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.