Provider Type Icon

FVOSA SURGICAL PARTNERS LLC NPI 1043254162


NPI Information

NPI: 1043254162
Provider Name: FVOSA SURGICAL PARTNERS, LLC

Doing Business As: ORTHOPEDIC & SPORTS SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 52D1053659

Address:
2105 E. ENTERPRISE AVE.
SUITE 101
APPLETON, WI
ZIP 54913
Phone: (920) 560-1100
Get Directions

FVOSA SURGICAL PARTNERS, LLC is an ambulatory surgical clinic center in Appleton, WI. FVOSA SURGICAL PARTNERS, LLC NPI is 1043254162. The provider is registered as an organization entity type.
The provider Is Doing Business As Orthopedic & Sports Surgery Center.

The provider's business location address is:

2105 E. ENTERPRISE AVE.
SUITE 101
APPLETON, WI
ZIP 54913
Phone: (920) 560-1100
Fax: (920) 560-1112

The provider's authorized official is J. David Kuplic .
The authorized official title is President Of Fvosa and has the following contact phone number (920) 731-6611.

The CLIA number assigned to this NPI record is 52D1053659 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.