Dodgeville Orthopedics SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DODGEVILLE ORTHOPEDICS SC

Practice address

833 S Iowa St
Ste 104
Dodgeville, WI 53533-1900

Phone

(608) 935-3339

Fax

(608) 935-1126

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Douglas R Palmer, MD

Title

Owner

Phone

(608) 935-3339

Specialties & licenses 2

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhonda Catherine Mayne, OPA-C, OTC, OT-SC

  • Surgical Technologist
  • Dodgeville, WI
  • NPI 1558344663
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1891732301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "address_2": "STE 104",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-3339",
            "fax_number": "608-935-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "address_2": "STE 104",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-3339",
            "fax_number": "608-935-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODGEVILLE ORTHOPEDICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-935-3339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "545207",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21332700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30748700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Retail Services, Inc.
• Marlene M Derby, RN
• Judith A. Dochnahl, DC
• Dodgeville Dental LLC
• Dodgeville Family Chiropractic SC
• Dodgeville School District
• Jana Draeger, PHARM D, RPH
• Sarah J Drennan, LCSW
• Susan Eberle
• Melissa Edge, PTA

• Clinic/Center in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.