Organization Active NPI

Orthopaedic & Sports Medicine Clinic

  • Orthopaedic Surgery Physician
  • Darlington, WI
National Provider Identifier
1740468693
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27334 Issued in WI
Legal business name
ORTHOPAEDIC & SPORTS MEDICINE CLINIC
Practice address
800 Clay St
Darlington, WI 53530-1228
Phone
(608) 776-4466
NPI assigned
Feb 2, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Daniel M Stormont, MD
Title
President
Phone
(608) 776-4466

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 27334 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

800 Clay St
Darlington, WI 53530-1228

Mailing address

800 Clay St
Darlington, WI 53530-1228
Phone (608) 776-4466

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1598782039OtherNPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2015.

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1740468693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301228",
            "telephone_number": "608-776-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301228",
            "telephone_number": "608-776-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPORTS MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "STORMONT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-776-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "27334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598782039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.