Active NPI
Edmund Lawrence Markey Jr., MD
- Orthopaedic Surgery Physician
- Wausau, WI
National Provider Identifier
1831131390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 17315
- Practice address
- 425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4123 - Phone
- (715) 847-0402
- Fax
- (715) 847-0429
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 17315 | WI | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 17315 | WI | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 17315 | WI |
Addresses
Primary practice location
425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4123
Mailing address
425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4123
Phone (715) 847-0402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30201000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17315 | WI | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bone & Joint Clinic S.C. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1902850696
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831131390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PINE RIDGE BLVD",
"address_2": "SUITE 300",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014123",
"telephone_number": "715-847-0402",
"fax_number": "715-847-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PINE RIDGE BLVD",
"address_2": "SUITE 300",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014123",
"telephone_number": "715-847-0402",
"fax_number": "715-847-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKEY",
"first_name": "EDMUND",
"middle_name": "LAWRENCE",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "17315",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "WI",
"license": "17315",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "WI",
"license": "17315",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.