SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C. (NPI# 1164411997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164411997 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C. |
| Practice Address |
3033 W Layton Ave Suite 102 Greenfield WI 53221-2628 |
| Practice Telephone | 4146470033 |
| Practice Fax Number | 4146470079 |
| Mailing Telephone | 4146470033 |
| Mailing Fax Number | 4146470079 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | MR. WILLIAM JAMES PAUERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4146470033 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32685200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295911618 | Sports Medicine & Orthopedic Center, S.c. | Specialist | 5250 S 108th St, Hales Corners, WI 53130-1331 | 2008-01-16 |
| 1396921714 | Sports Medicine & Orthopedic Center, S.c. | Specialist | 10500 W Loomis Rd, Franklin, WI 53132-8111 | 2008-01-16 |
| 1952585432 | Sports Medicine & Orthopedic Center, S.c. | Specialist | 2424 S 90th St, Suite 418, West Allis, WI 53227-2455 | 2007-12-20 |
| Street Address |
3033 W LAYTON AVE SUITE 102 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53221-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851380687 | Gina Elaine Vinz | Registered Nurse | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-14 |
| 1386061844 | Mary Lundgren | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2014-03-23 |
| 1912173311 | Damian Carl Kosempa | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2008-05-06 |
| 1790963353 | Wendy Marie Pietz | Dentist | 3033 W Layton Ave, Suite 103, Greenfield, WI 53221-2628 | 2008-02-06 |
| 1730305657 | Thomas Louis Goddard | Dentist | 3033 W Layton Ave, Suite 203, Greenfield, WI 53221-2628 | 2007-04-18 |
| 1528115250 | Elizabeth Anne Polacheck | Physical Medicine & Rehabilitation | 3033 W Layton Ave, Ste 201, Greenfield, WI 53221-2628 | 2007-01-04 |
| 1033108212 | Lisa A. Hannes | Physical Therapist | 3033 W Layton Ave, Suite 102, Greenfield, WI 53221-2628 | 2005-10-19 |
| 1902895659 | John Arthur Schneider | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-17 |
| 1588653315 | Donald James Zoltan | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-14 |
| 1649269473 | Brian Edward Black | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464199 | Lyall Carlton Stilp II | Orthopaedic Surgery | 2133 Willow Ln, Oshkosh, WI 54902-9121 | 2009-04-21 |
| 1992953921 | William David Jones | Orthopaedic Surgery | 1554 River Pines Dr, Green Bay, WI 54311-5648 | 2008-09-03 |
| 1588639256 | Albert J Cecchini | Orthopaedic Surgery | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-02-17 |
| 1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
| 1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
| 1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
| 1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
| 1922322429 | Andrea M. Spiker | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2010-03-26 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 53221 |
Please comment or provide details below to improve the information on SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C..
| 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.