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SPORTS MEDICINE CENTER S C
NPI 1093729055
Orthopaedic Surgery in Appleton, WI

Active since July 27, 2006
277 ALTENHOFEN DR, APPLETON, WI 54913(920) 993-1643(920) 993-1645 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sports Medicine Center S C NPPES

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

SPORTS MEDICINE CENTER S C (NPI 1093729055) is a healthcare organization registered as an orthopaedic surgery in Appleton, Wisconsin and active in the NPI registry since July 2006. The organization lists Etienne A Mejia, Presdient, as its authorized official.

NPPES Registry Identity

NPI1093729055
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSPORTS MEDICINE CENTER S C
Location Address277 ALTENHOFEN DRAppleton, WI 54913-8401
Mailing Address277 Altenhofen DrAppleton, WI 54913-8401 · (920) 993-1643 · Fax (920) 993-1645
Phone(920) 993-1643
Fax(920) 993-1645
Organization SubpartNo
Authorized OfficialEtienne A MejiaPresdient · (920) 993-1643
Enumeration DateJuly 27, 2006
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1093729055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

277 ALTENHOFEN DR, Appleton, WI 54913
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Other Identifiers 3

OtherBC/BS =========017WI · Bc/bs
Medicare PIN000071215WI
Medicare NSC5760250001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 6

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

RONALD W SCHAULAND CRNA
Nurse Anesthetist, Certified Registered
277 ALTENHOFEN DR
APPLETON, WI 54913
Outagamie County (920) 993-1643
ARTHROSCOPIC SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
277 ALTENHOFEN DR
APPLETON, WI 54913
Outagamie County (920) 993-1643
RICHARD MUNSTER CRNA
Nurse Anesthetist, Certified Registered
277 ALTENHOFEN DR
APPLETON, WI 54913
Outagamie County (815) 633-8545
MR. JEREMY J BELTER OPA-C
Specialist/Technologist, Other (Surgical Assistant)
277 ALTENHOFEN DR
APPLETON, WI 54913
Outagamie County (920) 993-1643
RONALD W SCHAULAND, CRNA, LLC
Nurse Anesthetist, Certified Registered
277 ALTENHOFEN DR
APPLETON, WI 54913
Outagamie County (920) 451-8142
DR. ETIENNE A. MEJIA M.D.
Orthopaedic Surgery (Sports Medicine)
277 ALTENHOFEN DR
APPLETON, WI 54913
Outagamie County (920) 993-1643

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 Sports Medicine Center S C's NPI number?

The NPI number for Sports Medicine Center S C is 1093729055. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Sports Medicine Center S C located?

Sports Medicine Center S C is located at 277 Altenhofen Dr, Appleton, WI 54913. The listed phone number is (920) 993-1643.

What is Sports Medicine Center S C's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Sports Medicine Center S C accept?

Health plans from Anthem Blue Cross and Blue Shield list Sports Medicine Center S C 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 Sports Medicine Center S C was last updated on January 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.