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EAU CLAIRE SPINE & ORTHOPEDICS SC NPI 1811936248


NPI Information

NPI: 1811936248
Provider Name: EAU CLAIRE SPINE & ORTHOPEDICS, SC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
659 W HAMILTON AVE
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 858-0320
Get Directions

EAU CLAIRE SPINE & ORTHOPEDICS, SC is an orthopaedic surgery of the spine orthopaedic surgery in Eau Claire, 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. EAU CLAIRE SPINE & ORTHOPEDICS, SC NPI is 1811936248. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

659 W HAMILTON AVE
EAU CLAIRE, WI
ZIP 54701-925
Phone: (715) 858-0320
Fax: (715) 858-0319

The provider's authorized official is Thomas Sunil Thomas .
The authorized official title is Owner and has the following contact phone number (715) 858-0320.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 12/21/2010.


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
1207X00000XOrthopaedic Surgery37931WISCONSINNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine37931WISCONSINYes

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
121282000MEDICAIDWISCONSIN
2000020330MEDICARE PINWISCONSIN
3DC8904MEDICARE PINWISCONSIN
4610080600OTHERWISCONSINUS DEPT OF LABOR
5=========018OTHERWISCONSINANTHEM BLUE CROSS

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

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