Provider Type Icon

INTEGRATED SPINE CARE S.C. NPI 1245212414


NPI Information

NPI: 1245212414
Provider Name: INTEGRATED SPINE CARE, S.C.
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
601 N 99TH ST
SUITE 101
WAUWATOSA, WI
ZIP 53226
Phone: (414) 988-5100
Get Directions

INTEGRATED SPINE CARE, S.C. is an orthopaedic surgery of the spine orthopaedic surgery in Wauwatosa, WI. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. INTEGRATED SPINE CARE, S.C. NPI is 1245212414. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

601 N 99TH ST
SUITE 101
WAUWATOSA, WI
ZIP 53226-339
Phone: (414) 988-5100
Fax: (414) 988-5102

The provider's authorized official is Clay Jamison Frank .
The authorized official title is President and has the following contact phone number (414) 988-5100.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/6/2011.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine574150-9WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102885MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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: 11/14/2023

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.