The Orthopaedic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE ORTHOPAEDIC SURGERY CENTER LLC

Practice address

N15 W28300 Golf Rd
Pewaukee, WI 53072

Phone

(262) 303-5000

Fax

(262) 303-5006

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark E. Smith, SPHR

Title

Chief Administrative Officer

Phone

(262) 303-5055

Specialties & licenses 1

Addresses

Other names 1

• OAW ASC, LLC Doing business as

Tax ID family

The Orthopaedic Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Orthopaedic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Pewaukee, WI
  • NPI 1003976929
  NPD tax ID

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1982743530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N15 W28300 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724800",
            "telephone_number": "262-303-5000",
            "fax_number": "262-303-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N15 W28300 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "53072",
            "telephone_number": "262-303-5000",
            "fax_number": "262-303-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "262-303-5055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SPHR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAW ASC, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OAW ASC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Rae Teschendorf
• Marlena Teuteberg, RN
• The Chiropractors, LLC
• The Healing Haven of Wisconsin LLC
• The Orthopaedic Surgery Center LLC
• Therapeutic Pathways, S.C.
• Alan Thiede, PA-C
• Kristin Elizabeth Thieneman, PHARM.D.
• Marcus Thoma, LAT
• Rebecca Jean Thomas, PT

• Ambulatory Surgical Clinic/Center in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.