NPIMap

Organization Active NPI

Hand to Shoulder Specialists of Wisconsin LTD

  • Orthopaedic Hand Surgery Physician
  • Glendale, WI
National Provider Identifier
1497794465
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
HAND TO SHOULDER SPECIALISTS OF WISCONSIN LTD
Practice address
525 W River Woods Pkwy Ste 230
Glendale, WI 53212-1010
Phone
(414) 453-7418
Fax
(414) 967-1151
NPI assigned
Jun 5, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Lisa C Klimczak
Title
Manager
Phone
(414) 453-7418

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X

Addresses

Primary practice location

525 W River Woods Pkwy Ste 230
Glendale, WI 53212-1010

Mailing address

525 W River Woods Pkwy Ste 230
Glendale, WI 53212-1010
Phone (414) 453-7418

Other practice location 1

2500 N Mayfair Rd Ste 670
Milwaukee, WI 53226
Phone (414) 453-7418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060317000008 WI Part B Supplier - Clinic/Group Practice 7911914866 Receives reassigned benefits from 7 practitioners
Practice locations: Milwaukee, WI; Waukesha, WI; Wauwatosa, WI; West Allis, WI; Mequon, WI; Greenfield, WI; Glendale, WI; Cudahy, WI

National Provider Directory

National Provider Directory

Locations

525 W River Woods Pkwy
Ste 230
Glendale, WI 53212
Phone 41445374182121

575 W River Woods Pkwy
Ste 202
Glendale, WI 53212

4448 W Loomis Rd
Ste 203
Greenfield, WI 53220

2500 N Mayfair Rd
Ste 670
Milwaukee, WI 53226

5007 S Howell Ave
Ste 320
Milwaukee, WI 53207

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1497794465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 230",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-453-7418",
            "fax_number": "414-967-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 230",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-453-7418",
            "fax_number": "414-967-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Mayfair Rd Ste 670",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-453-7418",
            "fax_number": "414-453-7420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAND TO SHOULDER SPECIALISTS OF WISCONSIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "KLIMCZAK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-453-7418"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.