Active NPI
South Shore Orthopedics
- Specialist
- Ashland, WI
National Provider Identifier
1760580286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32880200 | Medicaid | WI | |
| 000004110 | Other | WI | RAILROAD MEDICARE |
| 71214 | Other | WI | PEFERRED ONE I.D. |
National Provider Directory
National Provider DirectoryPractitioners & 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.