Stephen P Delahunt, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

19042 Issued in WI

Practice address

2801 W Kinnickinnic River Pkwy Ste 355
Milwaukee, WI 53215-3695

Phone

(414) 235-3623

Fax

(414) 235-3623

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Spine Center of Wisconsin SC

  • Medical Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1467561506
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1912919002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320695",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "53132",
            "telephone_number": "414-235-3623",
            "fax_number": "414-325-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 355",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153695",
            "telephone_number": "414-235-3623",
            "fax_number": "414-235-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAHUNT",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WI",
            "license": "19042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30876700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Del Mar Pharmacy SC
• Melissa Lynn Del Rosario, LPC
• David Del Toro, MD
• Tiodolo Delagarza III, SAC-IT
• Joshua Delahan, MSW
• Tara Marie Delamarter, PA-C
• Andrienne M Delaney, APNP
• Brian N Delaney, LMT
• Dakisha Delaney
• Relondia Delaney

• Orthopaedic Surgery of the Spine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Orthopaedic Surgery of the Spine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.