Active NPI
Scott Erwin Van Valin, MD
- Orthopaedic Surgery Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 36464
- Practice address
- 9000 W Wisconsin Ave
Pediatric Orthopaedic Surgery
Milwaukee, WI 53226-4874 - Phone
- (414) 337-7339
- Fax
- (414) 337-7337
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 36464 | WI | Primary |
| Pediatric Sports Medicine Physician | 2080S0010X | 36464 | WI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 36464 | WI |
Addresses
Primary practice location
9000 W Wisconsin Ave
Pediatric Orthopaedic Surgery
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Pediatric Orthopaedic Surgery
Milwaukee, WI 53226-4874
Phone (414) 337-7339
Other practice location 1
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891784633 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36464 | WI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Sports Medicine & Orthopedic Center, S.C. | Sports Medicine | Past | Accepting new patients |
Locations
3195 Hillside Dr
Delafield, WI 53018
Phone (262) 646-9950
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
3365 S 103rd St
Milwaukee, WI 53227
Phone (414) 321-3951
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
3223 S 103rd St
West Allis, WI 53227
Phone (414) 327-2581
Interoperability endpoints
- svanvalin5945@direct.chw.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1942970405
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Greenfield, WI
- NPI 1164411997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1891784633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC ORTHOPAEDIC SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-337-7339",
"fax_number": "414-337-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC ORTHOPAEDIC SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-337-7339",
"fax_number": "414-337-7337"
}
],
"practiceLocations": [
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-7400",
"fax_number": "414-805-7388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN VALIN",
"first_name": "SCOTT",
"middle_name": "ERWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "36464",
"primary": true
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "WI",
"license": "36464",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WI",
"license": "36464",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891784633",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.