McDonough Orthopaedic and Sports Medicine Center SC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

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

Last updated

Aug 6, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SCAs reported in NPPES

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 1

Addresses

Other identifiers 1

Part of

McDonough Orthopaedic Spor

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1750374575",
    "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": "715-421-5255",
            "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": "YES",
        "parent_organization_legal_business_name": "MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-08-06",
        "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32685600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Robert E McGrath, DDS
• MCHS Hospitals Inc (INACTIVE Marshfield Medical Center - River Region WI Rapids Professional Services)

• Physical Therapy Clinic/Center in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.