NORTH SHORE ORTHOPAEDICS, SC (NPI# 1982705588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982705588 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE ORTHOPAEDICS, SC |
| Practice Address |
13133 N Port Washington Rd Suite 116 Mequon WI 53097-2419 |
| Mailing Address |
7545 N Port Washington Rd Glendale WI 53217-3422 |
| Practice Telephone | 2622433100 |
| Practice Fax Number | 2622433116 |
| Mailing Telephone | 4143513500 |
| Mailing Fax Number | 4143519063 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | JAMES FLESCH (PRESIDENT) |
| Authorized Official Telephone | 4143513500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32735300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083715676 | North Shore Orthopaedics, Sc | Physical Medicine & Rehabilitation | 7545 N Port Washington Rd, Glendale, WI 53217-3422 | 2006-09-26 |
| Street Address |
13133 N PORT WASHINGTON RD SUITE 116 |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605226 | James Joseph Ansfield | Internal Medicine | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2005-08-09 |
| 1558713743 | Patrick M Schroeder | Physician Assistant | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 | 2016-07-12 |
| 1336506021 | The Sleep Wellness Institute Inc | Clinic/Center | 13133 N Port Washington Rd, Ste 104, Mequon, WI 53097-2419 | 2016-01-26 |
| 1770968521 | Patricia Kay Nelson | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2015-07-22 |
| 1497162317 | Kaitlin R. Ziemke | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2014-07-14 |
| 1578827960 | Elona Como | Physician Assistant | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 | 2012-06-29 |
| 1861754715 | Catherine Powers Zellmer | Physician Assistant | 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 | 2012-06-15 |
| 1326357815 | Erika L Mantsch | Physician Assistant | 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 | 2010-09-30 |
| 1518271956 | Csm Community Physician | Clinic/Center | 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419 | 2010-07-27 |
| 1285962605 | Candace Moore | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2009-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
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| 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 |
|---|---|---|---|---|
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1891754008 | Joseph F Davies | Orthopaedic Surgery | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1831729276 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 8907 S Howell Ave Ste 800, Oak Creek, WI 53154-4461 | 2020-01-24 |
| 1710520200 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 12555 W National Ave Ste 100, New Berlin, WI 53151-4061 | 2019-10-28 |
| 1477015931 | Multiple Care of Wi II, LLC | Orthopaedic Surgery | 8040 Excelsior Dr Ste 400, Madison, WI 53717-2915 | 2019-04-03 |
| 1508321209 | Ellen M Obrien | Orthopaedic Surgery | 5026 N Northwood Trce, Janesville, WI 53545-8990 | 2019-02-06 |
| 1487180238 | Ryan Scott Bailey | Orthopaedic Surgery | 7708 Milwaukee Ave, Wauwatosa, WI 53213-2209 | 2017-05-11 |
| 1932584927 | Anne Margarethe Ryan | Orthopaedic Surgery | 5940 Wild Rose Ln, Eau Claire, WI 54701-8783 | 2015-07-20 |
| 1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
| 1952728206 | Jacob R Seiler | Orthopaedic Surgery | 1205 West American Drive, Neenah, WI 54956-1405 | 2014-03-25 |
| 1770920472 | Jonathan Stone | Orthopaedic Surgery | 3111 W Rawson Ave Ste 200205, Franklin, WI 53132-9417 | 2013-06-04 |
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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.