Donald L Wackwitz, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

23289 Issued in WI

Practice address

2 Science Court
Madison, WI 53711-1088

Phone

(608) 231-3410

Fax

(608) 231-3430

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1659306298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCIENCE COURT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111088",
            "telephone_number": "608-231-3410",
            "fax_number": "608-231-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCIENCE COURT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111088",
            "telephone_number": "608-231-3410",
            "fax_number": "608-231-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKWITZ",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "23289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30611500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Wack, PT
• Emily Wacker
• Joel M. Wacker, M.D.
• Kathleen M Wackerle, NP
• Brian J Wackwitz, D.D.S.
• Andrew J Waclawik, MD
• Gabrielle E Waclawik, MD
• Cheryle S Wade, SAC-IT
• Michelle Raissa Kobou Wafo
• Joann M Wagner Novak, NP

• Orthopaedic Surgery Physician in Madison, WI
• Providers in Madison, 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 3, 2010; 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.