ARTHROSCOPIC SURGERY CENTER, LLC (NPI# 1134140122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134140122 |
| Entity Type | Organization |
| Organization Name | ARTHROSCOPIC SURGERY CENTER, LLC |
| Practice Address |
277 Altenhofen Dr Appleton WI 54913-8401 |
| Practice Telephone | 9209931643 |
| Practice Fax Number | 9209931645 |
| Mailing Telephone | 9209931643 |
| Mailing Fax Number | 9209931645 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | DR. ETIENNE A MEJIA (OWNER) |
| Authorized Official Telephone | 9209931643 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
277 ALTENHOFEN DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205866290 | Ronald W Schauland, Crna, LLC | Nurse Anesthetist, Certified Registered | 277 Altenhofen Dr, Appleton, WI 54913-8401 | 2006-07-04 |
| 1952559734 | Jeremy J Belter | Specialist/Technologist, Other | 277 Altenhofen Dr, Appleton, WI 54913-8401 | 2008-09-04 |
| 1982755583 | Richard Munster | Nurse Anesthetist, Certified Registered | 277 Altenhofen Dr, Appleton, WI 54913-8401 | 2007-01-12 |
| 1093729055 | Sports Medicine Center S C | Orthopaedic Surgery | 277 Altenhofen Dr, Appleton, WI 54913-8401 | 2006-07-27 |
| 1184648131 | Etienne A. Mejia | Orthopaedic Surgery | 277 Altenhofen Dr, Appleton, WI 54913-8401 | 2006-07-26 |
| 1821028812 | Ronald W Schauland | Nurse Anesthetist, Certified Registered | 277 Altenhofen Dr, Appleton, WI 54913-8401 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1548502008 | Pain Centers of Wisconsin - Appleton, LLC | Clinic/Center | 1616 N Casaloma Dr, Appleton, WI 54913-8245 | 2013-03-22 |
| 1043254162 | Fvosa Surgical Partners, LLC | Clinic/Center | 2105 E. Enterprise Ave., Suite 101, Appleton, WI 54913 | 2006-06-16 |
| 1245297662 | Woodland Surgery Center LLC | Clinic/Center | 2325 N Casaloma Dr, Appleton, WI 54913-8284 | 2006-04-28 |
| 1275513806 | Pinnacle Cataract and Laser Institute LLC | Clinic/Center | 4648 W Spencer St, Appleton, WI 54914-9106 | 2006-01-19 |
| 1851623961 | Alexander Eye Surgery Center, LLC | Clinic/Center | 250 N Metro Dr, Appleton, WI 54913-8571 | 2010-02-01 |
| 1184837353 | North Shore Foot & Ankle Surgery Center, LLC | Clinic/Center | 2005 S Lake Park Rd, Appleton, WI 54915-4155 | 2007-05-07 |
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| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
| 1447799580 | Geneva Surgical Suites, LLC | Clinic/Center | 119 Elizabeth Lane, Genoa City, WI 53128-2124 | 2017-02-22 |
| Find all providers with the same taxonomy | ||||
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| 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.