Organization Active NPI

Sport & Spine Clinic of Fort Atkinson Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
National Provider Identifier
1861638900
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP
Doing business as
Sport & Spine Clinic of Madison
Practice address
340 S Whitney Way
Suite 200
Madison, WI 53705-4656
Phone
(608) 238-1312
Fax
(608) 238-1464
NPI assigned
Dec 19, 2008
Organization subpart
Yes
Parent organization
SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Lawrance W McAfee
Title
Cfo
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

340 S Whitney Way
Suite 200
Madison, WI 53705-4656

Mailing address

340 S Whitney Way
Suite 200
Madison, WI 53705-4656
Phone (608) 238-1312

Other names 1

  • Sport & Spine Clinic of Madison Doing business as

National Provider Directory

National Provider Directory
Part of
Sport Spine Clinic of Madi

Locations

340 S Whitney Way
Ste 200
Madison, WI 53705
Phone (608) 238-1312

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1861638900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S WHITNEY WAY",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054656",
            "telephone_number": "608-238-1312",
            "fax_number": "608-238-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S WHITNEY WAY",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054656",
            "telephone_number": "608-238-1312",
            "fax_number": "608-238-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP",
        "enumeration_date": "2008-12-19",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "MCAFEE",
        "authorized_official_first_name": "LAWRANCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sport & Spine Clinic of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.