WEST BEND CLINIC, INC. (NPI# 1780821298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780821298 |
| Entity Type | Organization |
| Organization Name | WEST BEND CLINIC, INC. |
| Other Organization Name | FORWARD ORTHO |
| Practice Address |
W180n8085 Town Hall Rd Menomonee Falls WI 53051-3518 |
| Mailing Address |
1700 W Paradise Dr West Bend WI 53095-9795 |
| Practice Telephone | 2622575860 |
| Practice Fax Number | 2622575858 |
| Mailing Telephone | 2623343451 |
| Mailing Fax Number | 2623062964 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-09-25 |
| Authorized Official Name | JAMES N BROWNE (ADMINISTRATOR) |
| Authorized Official Telephone | 2623343451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21251400 | 05 |
| Other Name | Type Code |
|---|---|
| Forward Ortho | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124328232 | West Bend Clinic, Inc. | Physical Therapist | W227 N16857 Tillie Lake Court, Jackson, WI 53037-9000 | 2010-10-25 |
| 1043220692 | West Bend Clinic, Inc. | Dermatology | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2006-08-08 |
| 1558371104 | West Bend Clinic, Inc. | Internal Medicine | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2006-08-08 |
| 1326057795 | West Bend Clinic, Inc. | Obstetrics & Gynecology | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2006-08-05 |
| 1235106311 | West Bend Clinic, Inc. | Internal Medicine | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2006-03-07 |
| Street Address |
W180N8085 TOWN HALL RD |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647287 | Forward Orthopedics, S.c. | Orthopaedic Surgery | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2005-05-24 |
| 1750993788 | Brittany Watson | Pharmacist | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-08-20 |
| 1982237277 | Kasey Knecht | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-02-15 |
| 1275163487 | Kayla Joy Scheid | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-01-16 |
| 1053969980 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2019-09-04 |
| 1003392770 | Demi Elisabeth Anagnoustopolous | Physician Assistant | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-07-16 |
| 1376035782 | Shannon Daye | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-31 |
| 1063902054 | Laura Swoboda | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-15 |
| 1578050688 | Joseph Allen Weber | Student in an Organized Health Care Education/Training Program | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-04-16 |
| 1093220360 | Anne Mutitu | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2017-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407966732 | Timothy J Morton | Orthopaedic Surgery | N91w15750 Falls Pkwy, Orthopaedic Sports and Spine Center, Menomonee Falls, WI 53051-2301 | 2006-08-30 |
| 1386647287 | Forward Orthopedics, S.c. | Orthopaedic Surgery | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2005-05-24 |
| 1104987486 | Sharon Menkveld | Orthopaedic Surgery | W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 | 2006-12-12 |
| 1053497362 | Scott C Hicks | Orthopaedic Surgery | W129n7055 Northfield Dr, Orthopaedic Surgery, Menomonee Falls, WI 53051-0538 | 2006-10-29 |
| 1487764700 | Gregory N Van Winkle | Orthopaedic Surgery | N91w15750 Falls Pkwy, Orthopaedic Sports and Spine Center, Menomonee Falls, WI 53051-2301 | 2006-08-30 |
| 1437181716 | James G. Hackett | Orthopaedic Surgery | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-07-07 |
| 1174553309 | John K. Konkel | Orthopaedic Surgery | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-07-04 |
| 1760412902 | Kurt F. Konkel | Orthopaedic Surgery | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-07-04 |
| 1356371504 | Philip D. Konkel | Orthopaedic Surgery | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-07-04 |
| 1346270220 | Peeush Singhal | Orthopaedic Surgery | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-07-04 |
| Find all providers in MENOMONEE FALLS | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
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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.