ORTHOPEDIC & SPORTS SURGERY CENTER
NPI 1043254162
Clinic/Center - Ambulatory Surgical in Appleton, WI

Active since June 16, 2006CLIA 52D1053659 · Waiver
2105 E. ENTERPRISE AVE., SUITE 101, APPLETON, WI 54913(920) 560-1100(920) 560-1112 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jan 25, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Orthopedic & Sports Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHOPEDIC & SPORTS SURGERY CENTER (NPI 1043254162) is a healthcare organization registered as an ambulatory surgical in Appleton, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists J. David Kuplic, President Of Fvosa, as its authorized official.

NPPES Registry Identity

NPI1043254162
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFVOSA SURGICAL PARTNERS, LLC
Location Address2105 E. ENTERPRISE AVE., SUITE 101Appleton, WI 54913
Mailing Address2105 E. Enterprise Ave., Suite 101Appleton, WI 54913 · (920) 560-1100 · Fax (920) 560-1112
Fax(920) 560-1112
Organization SubpartNo
Authorized OfficialJ. David KuplicPresident Of Fvosa · (920) 731-6611
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMarch 14, 2022
NPI 1043254162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2105 E. ENTERPRISE AVE., Appleton, WI 54913

Other Names 1

Doing Business AsOrthopedic & Sports Surgery Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D1053659

Orthopedic And Sports Surgery Center · Appleton, WI
Active · expires Apr 30, 2028
CLIA Number52D1053659
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorJessica Karls
Laboratory Phone(920) 560-1100
Laboratory LocationOrthopedic And Sports Surgery Center2105 E Enterprise Ave, Appleton, WI 54913
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
34 services34 patients
Removal of knee cartilage using an endoscope 29881
This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.
25 services24 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
21 services21 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
18 services14 patients
Removal of both knee cartilages using an endoscope 29880
This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.
17 services17 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
14 services14 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Surgical Technologist)
2105 E. ENTERPRISE AVE., SUITE 111
APPLETON, WI 54913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fvosa Surgical Partners, LLC's NPI number?

The NPI number for Fvosa Surgical Partners, LLC is 1043254162. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Orthopedic & Sports Surgery Center.

Where is Fvosa Surgical Partners, LLC located?

Fvosa Surgical Partners, LLC is located at 2105 E. Enterprise Ave. Suite 101, Appleton, WI 54913. The listed phone number is (920) 560-1100.

What is Fvosa Surgical Partners, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Fvosa Surgical Partners, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1053659) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fvosa Surgical Partners, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Fvosa Surgical Partners, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fvosa Surgical Partners, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.