Active NPI
Sport & Spine Clinic of Fort Atkinson Limited Partnership
- Durable Medical Equipment & Medical Supplies
- Madison, WI
National Provider Identifier
1861638900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 PARTNERSHIP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.