WISCONSIN ORTHOTICS & PROSTHETICS CENTER LLC (NPI# 1114566395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114566395 |
| Entity Type | Organization |
| Organization Name | WISCONSIN ORTHOTICS & PROSTHETICS CENTER LLC |
| Practice Address |
5307 S 92nd St Ste 125 Hales Corners WI 53130-1677 |
| Practice Telephone | 4142462151 |
| Practice Fax Number | 4142462224 |
| Mailing Telephone | 4142462151 |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |
| Authorized Official Name | KHIZER ABBAS (CPO) |
| Authorized Official Telephone | 4142462151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
5307 S 92ND ST STE 125 |
| City | HALES CORNERS |
| State | WI |
| Zip Code | 53130-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962995563 | Leo A Levesque IIi | Chiropractor | Chiro One Wellness Center of Hales Corners LLC, 5305 S 108th St, Hales Corners, WI 53130 | 2018-06-08 |
| 1730512286 | Rebecca Lynn Gnas | Chiropractor | 10731 W. Forest Home Avenue, Hales Corners, WI 53130 | 2013-08-19 |
| 1316097843 | Michael S. Kotkin | Psychologist | 9415 W. Forest Home Ave. Suite 104, Hales Corners, WI 53130 | 2007-01-10 |
| 1588713705 | Dennis Keith Wolf | Social Worker | 12065 W Janesville Road, Hales Corners, WI 53130 | 2007-01-09 |
| 1124186978 | Briar House Facility Lpc Briar I | Assisted Living Facility | 10133 W Brookside Dr, Hales Corner, WI 53130 | 2006-12-05 |
| 1598837171 | Gilbert Jerome Brickler | Dentist | 6080 South 108th St, Suite 111 Gilbert J Brickler Dds, Hales Corners, WI 53130 | 2006-11-15 |
| 1306957840 | Donald Allen Whitlock | Dentist | 11035 W. Forest Home Ave, #116, Hales Corners, WI 53130 | 2006-08-31 |
| 1528074309 | James C. Boudreau, Dpm, Sc | Podiatrist | 6191 S. 108th St., Hales Corners, WI 53130 | 2006-07-31 |
| 1912441437 | Katheryn Elizabeth Hurst | Physical Therapist | 5764 S 108th St, Hales Corners, WI 53130 | 2016-12-19 |
| 1417115700 | Richard Anthony Mueller | Dentist | 11801 W Janesville Rd, Hales Corners, WI 53130 | 2008-05-23 |
| Find all providers in zip 53130 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402401 | Retinal Recovery LLC | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr, Oak Creek, WI 53154-4128 | 2020-06-18 |
| 1811512437 | Stuart Kuntzelman | Durable Medical Equipment & Medical Supplies | W2678 Town Center Rd, Juda, WI 53550-9565 | 2020-06-09 |
| 1487289716 | Hale Healthcare Products & Services LLC | Durable Medical Equipment & Medical Supplies | 2441 W Monroe St, Milwaukee, WI 53206-1063 | 2020-03-06 |
| 1801429121 | Advent Dme LLC | Durable Medical Equipment & Medical Supplies | 8500 75th St Ste 101, Kenosha, WI 53142-8213 | 2020-02-14 |
| 1619519923 | Baby Express Wellness Center | Durable Medical Equipment & Medical Supplies | 2913 Durand Ave, Racine, WI 53403-3969 | 2019-10-09 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
| 1225592199 | Lisa R Wenger | Durable Medical Equipment & Medical Supplies | W244n4850 Swan Rd, Pewaukee, WI 53072-1402 | 2019-01-24 |
| 1164992194 | Konrad Joeseph Haase | Durable Medical Equipment & Medical Supplies | 3153 Rudolph Dr, Racine, WI 53406-1548 | 2018-12-03 |
| 1720555196 | Facedown Rental, LLC | Durable Medical Equipment & Medical Supplies | W188n11770 Maple Rd # Door4, Germantown, WI 53022-2410 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
| City | HALES CORNERS |
| Zip Code | 53130 |
Please comment or provide details below to improve the information on WISCONSIN ORTHOTICS & PROSTHETICS CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.