McDonough Orthopaedic and Sports Medicine Center SC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC

Practice address

410 Dewey St
Wisconsin Rapids, WI 54494-4715

Phone

(715) 421-5257

Fax

(715) 421-0111

NPI assigned

Aug 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Wayne R Christie, MD

Title

Vice President

Phone

(715) 421-5257

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1609869460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8075",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958075",
            "telephone_number": "715-421-5257",
            "fax_number": "715-421-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944715",
            "telephone_number": "715-421-5257",
            "fax_number": "715-421-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "715-421-5257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32685600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Jo McClellan-Tilson, APNP, MSN
• Karen Joan McClyman-Tischer
• McCray Chiropractic LLC
• Karla Renee McDonald, DDS
• McDonough Orthopaedic and Sports Medicine Center SC
• McDonough Orthopaedic and Sports Medicine Center SC
• McDonough Orthopaedic and Sports Medicine Center SC
• John W McDonough II, DO
• Tiffany Rae McFarland
• Timothy Patrick McFarland, RN

• Orthopaedic Surgery Physician in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.