Organization Active NPI

Milwaukee Orthopedic Specialists, S.C.

  • Specialist
  • Milwaukee, WI
National Provider Identifier
1407820244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MILWAUKEE ORTHOPEDIC SPECIALISTS, S.C.
Practice address
1575 N Rivercenter Dr
Suite 160
Milwaukee, WI 53212-3978
Phone
(414) 274-7220
Fax
(414) 274-7227
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rachael Polzin
Title
Clinic Administrator
Phone
(414) 274-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1575 N Rivercenter Dr
Suite 160
Milwaukee, WI 53212-3978

Mailing address

1575 N Rivercenter Dr
Suite 160
Milwaukee, WI 53212-3978
Phone (414) 274-7220

Other identifiers 1

IdentifierTypeStateIssuer
32841500MedicaidWI

National Provider Directory

National Provider Directory

Locations

1575 N Rivercenter Dr
Ste 160
Milwaukee, WI 53212
Phone (414) 274-7220

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407820244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 N RIVERCENTER DR",
            "address_2": "SUITE 160",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123978",
            "telephone_number": "414-274-7220",
            "fax_number": "414-274-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N RIVERCENTER DR",
            "address_2": "SUITE 160",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123978",
            "telephone_number": "414-274-7220",
            "fax_number": "414-274-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE ORTHOPEDIC SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLZIN",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "414-274-7220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32841500",
            "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 Aug 22, 2020; 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.