NPIMap

Organization Active NPI

Chippewa Valley Orthopedics and Sports Medicine Clinic SC

  • Orthopaedic Surgery Physician
  • Altoona, WI
National Provider Identifier
1699778829
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
Practice address
1200 Oakleaf Way Ste a
Altoona, WI 54720-2217
Phone
(715) 832-1400
Fax
(715) 832-4187
NPI assigned
May 23, 2005
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Dr. Austin Jay Crow, M.D.NPI 1386809325
Title
President
Phone
(715) 832-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Physical Therapy Clinic/Center 261QP2000X
Durable Medical Equipment & Medical Supplies 332B00000X WI
Physician Assistant 363A00000X
Neurological Surgery Physician 207T00000X
Orthopaedic Surgery Physician 207X00000X Primary
Interventional Pain Medicine Physician 208VP0014X 54216 WI
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

1200 Oakleaf Way Ste a
Altoona, WI 54720-2217

Mailing address

1200 Oakleaf Way Ste a
Altoona, WI 54720-2217
Phone (715) 832-1400

Other practice location 1

2200 Cedarcrest Dr
Ste A
Rice Lake, WI 54868
Phone (715) 537-4550

Other practice location 2

757 Lakeland Dr Ste B
Chippewa Falls, WI 54729-1672
Phone (715) 723-5989

Other identifiers 8

IdentifierTypeStateIssuer
100272795MedicaidWI
41741700MedicaidWI
100249466MedicaidWI
=========OtherWIBLUE CROSS BLUE SHIELD
21278700MedicaidWI
220399400OtherWIOWCP
2416091OtherWIUNITED HEALTHCARE
542R9CHOtherWIBCBS OF MN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040805000011 WI Part B Supplier - Clinic/Group Practice 7618948399 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
Practice locations: Altoona, WI; Stanley, WI; Spooner, WI; Shell Lake, WI; Rice Lake, WI; Ladysmith, WI; Hayward, WI; Durand, WI…
O20100930082298 WI DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Orthotic Personnel 7618948399 Practice locations: Altoona, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Chippewa Valley Orthopedics and Spo1200 Oakleaf Way, Altoona, WI 54720-2217(715) 832-1400 Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jul 1, 2004

National Provider Directory

National Provider Directory

Locations

1200 Oakleaf Way
Altoona, WI 54720
Phone (715) 839-1778

3440 Oakwood Hills Pkwy
Eau Claire, WI 54701
Phone (715) 214-2525

10405 Vermont Ave
Ste A
Hayward, WI 54843

1309 Stout Rd
Menomonie, WI 54751
Phone (715) 233-6230

2021 Cenex Dr
Unit K
Rice Lake, WI 54868
Phone (715) 418-8900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1699778829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Cedarcrest Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "54868",
            "country_code": "US",
            "telephone_number": "715-537-4550",
            "fax_number": "715-832-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Lakeland Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547291672",
            "country_code": "US",
            "telephone_number": "715-723-5989",
            "fax_number": "715-832-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-832-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "54216",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100272795",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41741700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249466",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "=========",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21278700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "220399400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2416091",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "542R9CH",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.