Active NPI
West Bend Clinic, Inc.
- Orthopaedic Surgery Physician
- Menomonee Falls, WI
National Provider Identifier
1780821298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- WEST BEND CLINIC, INC.
- Practice address
- W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518 - Phone
- (262) 257-5860
- Fax
- (262) 257-5858
- NPI assigned
- Jan 21, 2009
- 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
- James N Browne
- Title
- Administrator
- Phone
- (262) 334-3451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Mailing address
1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21251400 | Medicaid | WI |
Other names 1
- Forward Ortho
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- West Bend, WI
- NPI 1447269790
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253836800000",
"number": "1780821298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959795",
"telephone_number": "262-334-3451",
"fax_number": "262-306-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W180N8085 TOWN HALL RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513518",
"telephone_number": "262-257-5860",
"fax_number": "262-257-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST BEND CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-21",
"last_updated": "2009-09-25",
"status": "A",
"authorized_official_last_name": "BROWNE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "262-334-3451"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21251400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Forward Ortho",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.