MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC - NPI 1073506838 - Durable Medical Equipment & Medical Supplies in Wisconsin Rapids, WI

Q: What is Mcdonough Orthopaedic And Sports Medicine Center Sc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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About Mcdonough Orthopaedic And Sports Medicine Center Sc NPPES

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

MCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC (NPI 1073506838) is a healthcare organization registered as a durable medical equipment & medical supplies in Wisconsin Rapids, Wisconsin and active in the NPI registry since August 2005. The organization lists Wayne R Christie, Vice President Mcdonough Orthopaedi, as its authorized official.

NPPES Registry Identity

NPI1073506838

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMCDONOUGH ORTHOPAEDIC AND SPORTS MEDICINE CENTER SC

Location Address410 DEWEY STWisconsin Rapids, WI 54494-4715

Mailing AddressPo Box 8075Wisconsin Rapids, WI 54495-8075 · (715) 421-5257 · Fax (715) 421-0111

Phone(715) 421-5257

Fax(715) 421-0111

Organization SubpartYes

Authorized OfficialWayne R ChristieVice President Mcdonough Orthopaedi · (715) 421-5257

Enumeration DateAugust 26, 2005

Last NPPES UpdateMarch 6, 2009

✔ NPI 1073506838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X

410 DEWEY ST, Wisconsin Rapids, WI 54494

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Other Identifiers 2

Medicare ID-Type Unspecified477980001WI

Medicaid416963000WI

Other Providers at the Same Location NPPES 20

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

MRS. TAMMY LYNN REICHENBACHER LAT

Specialist/Technologist (Athletic Trainer)