Active NPI
North Shore Orthopaedics, SC
- Orthopaedic Surgery Physician
- Mequon, WI
National Provider Identifier
1982705588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NORTH SHORE ORTHOPAEDICS, SC
- Practice address
- 13133 N Port Washington Rd
Suite 116
Mequon, WI 53097-2419 - Phone
- (262) 243-3100
- Fax
- (262) 243-3116
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Flesch, MD
- Title
- President
- Phone
- (414) 351-3500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X |
Addresses
Primary practice location
13133 N Port Washington Rd
Suite 116
Mequon, WI 53097-2419
Mailing address
7545 N Port Washington Rd
Glendale, WI 53217-3422
Phone (414) 351-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32735300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1982705588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7545 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532173422",
"telephone_number": "414-351-3500",
"fax_number": "414-351-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13133 N PORT WASHINGTON RD",
"address_2": "SUITE 116",
"city": "MEQUON",
"state": "WI",
"postal_code": "530972419",
"telephone_number": "262-243-3100",
"fax_number": "262-243-3116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE ORTHOPAEDICS, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "FLESCH",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-351-3500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32735300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.