Active NPI
Decesare Orthopedic Clinic SC
- Orthopaedic Surgery Physician
- Eau Claire, WI
National Provider Identifier
1720031214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20727020
- Legal business name
- DECESARE ORTHOPEDIC CLINIC SC
- Practice address
- 3213 Stein Blvd
Eau Claire, WI 54701 - Phone
- (715) 839-8399
- Fax
- (715) 839-9953
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William F Decesare, MD
- Title
- Ceo
- Phone
- (715) 839-8399
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20727020 | WI | Primary |
Addresses
Primary practice location
3213 Stein Blvd
Eau Claire, WI 54701
Mailing address
3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 839-8399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30120400 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Eau Claire, WI
- NPI 1700812864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1720031214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 STEIN BLVD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54701",
"telephone_number": "715-839-8399",
"fax_number": "715-839-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 STEIN BLVD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54701",
"telephone_number": "715-839-8399",
"fax_number": "715-839-9953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECESARE ORTHOPEDIC CLINIC SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "DECESARE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "715-839-8399",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "20727020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30120400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.