Active NPI
Jeffrey J Stephany, M.D.
- Orthopaedic Surgery Physician
- Glendale, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 38539-020
- Practice address
- 525 W River Woods Parkway
Ste 130
Glendale, WI 53212 - Phone
- (414) 961-0304
- Fax
- (414) 961-2061
- NPI assigned
- Jun 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 38539 | WI | |
| Orthopaedic Surgery Physician | 207X00000X | 38539-020 | WI | Primary |
Addresses
Primary practice location
525 W River Woods Parkway
Ste 130
Glendale, WI 53212
Mailing address
575 W River Woods Pkwy
Ste 100
Glendale, WI 53212-1058
Phone (414) 332-6262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200045640 | Other | RAILROAD MEDICARE | |
| 34079800 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Wisconsin, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 N Mayfair Rd
Wauwatosa, WI 53226-1415
Phone (414) 257-2525
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38539-020 | WI | MD | Orthopaedic Surgery Physician |
| 38539 | WI | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Bone & Joint S C | Orthopaedic Surgery | Current | Accepting new patients |
| Wisconsin Bone & Joint S C | Orthopaedic Surgery | Current | Accepting new patients |
Locations
W62N208 Washington Ave
Cedarburg, WI 53012
Phone (262) 376-7480
525 W River Woods Pkwy
Ste 130
Glendale, WI 53212
Phone (414) 961-0304
525 W River Woods Pkwy
Ste 100
Glendale, WI 53212
Phone (414) 332-6262
2500 N Mayfair Rd
Ste 500
Wauwatosa, WI 53226
Phone (414) 257-1772
2500 N Mayfair Rd
Ste 550
Wauwatosa, WI 53226
Phone (414) 257-2525
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Wauwatosa, WI
- NPI 1831102540
-
dba Wisconsin Bone and Joint S C
- Orthopaedic Surgery Physician
- Glendale, WI
- NPI 1760013890
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Orthopaedic Hospital of Wisconsin
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1962406983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 W RIVER WOODS PKWY",
"address_2": "STE 100",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121058",
"telephone_number": "414-332-6262",
"fax_number": "414-332-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W RIVER WOODS PARKWAY",
"address_2": "STE 130",
"city": "GLENDALE",
"state": "WI",
"postal_code": "53212",
"telephone_number": "414-961-0304",
"fax_number": "414-961-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHANY",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "WI",
"license": "38539",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "38539-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200045640",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34079800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.