NPIMap

Organization Active NPI

South Shore Orthopedic Surgery Group LLC

  • Orthopaedic Surgery Physician
  • Franklin, WI
National Provider Identifier
1447540463
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTH SHORE ORTHOPEDIC SURGERY GROUP LLC
Practice address
9120 W Loomis Rd Ste 100
Franklin, WI 53132-9083
Phone
(262) 939-9318
Fax
(608) 756-8617
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Ms. Cathy J Dean
Title
Administrator
Phone
(262) 939-9318

Specialties & licenses 1

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

Addresses

Primary practice location

9120 W Loomis Rd Ste 100
Franklin, WI 53132-9083

Mailing address

9120 W Loomis Rd Ste 100
Franklin, WI 53132-9083
Phone (262) 939-9318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1447540463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 W LOOMIS RD STE 100",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329083",
            "telephone_number": "262-939-9318",
            "fax_number": "608-756-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 W LOOMIS RD STE 100",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329083",
            "telephone_number": "262-939-9318",
            "fax_number": "608-756-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE ORTHOPEDIC SURGERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-939-9318",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.