NPIMap

Organization Active NPI

Orthopedic Associates of Sauk Prairie S.C.

  • Orthopaedic Surgery Physician
  • Prairie Du Sac, WI
National Provider Identifier
1558348201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF SAUK PRAIRIE S.C.
Practice address
35 Prairie Ave
Suite 200
Prairie Du Sac, WI 53578-1500
Phone
(608) 643-2471
Fax
(608) 643-4788
NPI assigned
Dec 23, 2005
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
Ilona Pinzke
Title
Clinic Administrator
Phone
(608) 643-2471

Specialties & licenses 1

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

Addresses

Primary practice location

35 Prairie Ave
Suite 200
Prairie Du Sac, WI 53578-1500

Mailing address

35 Prairie Ave
Suite 200
Prairie Du Sac, WI 53578-1500
Phone (608) 643-2471

Other identifiers 1

IdentifierTypeStateIssuer
32720300MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558348201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PRAIRIE AVE",
            "address_2": "SUITE 200",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781500",
            "telephone_number": "608-643-2471",
            "fax_number": "608-643-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PRAIRIE AVE",
            "address_2": "SUITE 200",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781500",
            "telephone_number": "608-643-2471",
            "fax_number": "608-643-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF SAUK PRAIRIE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINZKE",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "608-643-2471"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32720300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Sac, 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.