Organization Active NPI

South Shore Orthopedics

  • Specialist
  • Ashland, WI
National Provider Identifier
1760580286
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTH SHORE ORTHOPEDICS
Practice address
2101 Beaser Ave Ste 1
Ashland, WI 54806-3632
Phone
(715) 682-8183
Fax
(715) 682-8190
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Mrs. Carolyn Brinker
Title
Business/Billing MGR
Phone
(715) 682-8189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2101 Beaser Ave Ste 1
Ashland, WI 54806-3632

Mailing address

2101 Beaser Ave Ste 1
Ashland, WI 54806-3632
Phone (715) 682-8183

Other identifiers 3

IdentifierTypeStateIssuer
32880200MedicaidWI
000004110OtherWIRAILROAD MEDICARE
71214OtherWIPEFERRED ONE I.D.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1760580286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BEASER AVE STE 1",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063632",
            "telephone_number": "715-682-8183",
            "fax_number": "715-682-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BEASER AVE STE 1",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063632",
            "telephone_number": "715-682-8183",
            "fax_number": "715-682-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "BRINKER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "BUSINESS/BILLING MGR",
        "authorized_official_telephone_number": "715-682-8189",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32880200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "000004110",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEFERRED ONE I.D.",
            "identifier": "71214",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.