Midwest Sports Medicine Institute S.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

36872-020 Issued in WI

Legal business name

MIDWEST SPORTS MEDICINE INSTITUTE S.C.

Practice address

2521 Allen Blvd
Middleton, WI 53562-2211

Phone

(608) 831-3335

Fax

(608) 829-2731

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Erik Adams

Title

President

Phone

(608) 831-3335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1881791010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 ALLEN BLVD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622211",
            "telephone_number": "608-831-3335",
            "fax_number": "608-829-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 ALLEN BLVD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622211",
            "telephone_number": "608-831-3335",
            "fax_number": "608-829-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPORTS MEDICINE INSTITUTE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-831-3335",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "36872-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michal Herbsman Psychotherapy
• Middleton Osl Operating LLC
• Middleton Village Nursing and Rehab LLC
• Middleton-Cross Plains Area School District
• Midwest Open MRI, LLC
• Benjamin Michael Mikla, D.C.
• Lindsay Kristine Miles
• Jordan Noelle Miller
• Madeline Clare Miller, MD
• Casey Lauren Mills, PHARMD

• Medical Specialty Clinic/Center in Middleton, WI
• Providers in Middleton, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.