VALLEY ORTHOPEDIC CLINIC SC NPI 1780628925

NPI Information

NPI: 1780628925
Provider Name: VALLEY ORTHOPEDIC CLINIC SC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2105 E ENTERPRISE AVE
STE 111
APPLETON, WI
ZIP 54913
Phone: (920) 731-6611
Get Directions

VALLEY ORTHOPEDIC CLINIC SC is a multi-specialty clinic center in Appleton, WI. VALLEY ORTHOPEDIC CLINIC SC NPI is 1780628925. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2105 E ENTERPRISE AVE
STE 111
APPLETON, WI
ZIP 54913-862
Phone: (920) 731-6611
Fax: (920) 731-6732

The provider's authorized official is Errol Ray Springer .
The authorized official title is President and has the following contact phone number (920) 731-6611.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 10/5/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363L00000X	Nurse Practitioner		No
2	363LA2200X	Nurse Practitioner	Adult Health	No
3	207X00000X	Orthopaedic Surgery		No
4	207XS0114X	Orthopaedic Surgery	Adult Reconstructive Orthopaedic Surgery	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
6	332B00000X	Durable Medical Equipment & Medical Supplies		No
7	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32748000	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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