Orbit Medical of Milwaukee LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORBIT MEDICAL OF MILWAUKEE LLC

Practice address

W228N2792 Duplainville Rd Ste J
Waukesha, WI 53186-8867

Phone

(626) 784-2072

Fax

(262) 784-2106

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Kiley Ann Russell

Title

Senior Director of Payor Relations

Phone

(629) 252-8211

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Orbit Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • South Salt Lake, UT
  • NPI 1053379172

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1427383728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 WINNETKA AVE N STE 200",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451618",
            "telephone_number": "629-252-8211",
            "fax_number": "763-255-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W228N2792 DUPLAINVILLE RD STE J",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868867",
            "telephone_number": "626-784-2072",
            "fax_number": "262-784-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBIT MEDICAL OF MILWAUKEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KILEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "629-252-8211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100011404",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Lynn Olson, CSAC
• Staci Michelle Olson, LPN
• Nicholas Olszewski
• Diane M Oman, MS LCSW
• Oral and Maxillofacial Surgery Associates of Waukesha, LTD.
• Danielle C Orrey, MD
• Amy Esther Orta
• Paula C Ortega-Jenna, LMFT
• Orthopedic & Sports Therapy SC
• Orthopedic Associates of Wisconsin

• Durable Medical Equipment & Medical Supplies in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.