Comprehensive Orthopaedics Sc in Kenosha - Adult Reconstructive Orthopaedic Surgery
Comprehensive Orthopaedics Sc - NPI 1295717445
Comprehensive Orthopaedics Sc is a Adult Reconstructive Orthopaedic Surgery in Kenosha, Wisconsin. Comprehensive Orthopaedics Sc practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Comprehensive Orthopaedics Sc is 1295717445. The last update date is 2018-09-19.
Comprehensive Orthopaedics Sc's current location address is 7401 104th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2627645891 and fax number 2627649314. The mailing address for Comprehensive Orthopaedics Sc is 7401 104th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Orthopaedics Sc |
|---|---|
| Address | 7401 104th Ave, Kenosha, Wisconsin |
| Phone Number | 2627645891 |
| Fax Number | 2627649314 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Main D Jonathan |
| Credentials | MD |
| Telephone Number | 2627645891 |
NPI Number Detail
| NPI Number | 1295717445 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2018-09-19 |
Provider Mailing Address Detail
| Address | 7401 104th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427845 |
| Phone Number | 2627645891 |
| Fax Number | 2627649314 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32809300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Comprehensive Orthopaedics Sc by the Centers for Medicare & Medicaid Services?
The Comprehensive Orthopaedics Sc has been issued the NPI (National Provider Identifier) 1295717445, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Comprehensive Orthopaedics Sc's physical address?
The Comprehensive Orthopaedics Sc is physically located at 7401 104Th Ave, in the city of Kenosha, WI, with the postal code 531427845.
What is Comprehensive Orthopaedics Sc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Comprehensive Orthopaedics Sc's specialized field of practice is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Xs0114X.
On what date did the Comprehensive Orthopaedics Sc receive the assignment of its 1295717445 from the Centers for Medicare & Medicaid Services?
The Comprehensive Orthopaedics Sc was issued its 1295717445 by the Centers for Medicare & Medicaid Services on 2005-11-15.
As of what date were the Comprehensive Orthopaedics Sc's details last updated?
The information pertaining to the Comprehensive Orthopaedics Sc, including its address, specialty, and other details, was most recently updated on 2018-09-19.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY