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

Q: 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.

Q: What is Sports Medicine Center S C's specialty?

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

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: August 09, 2026.

On this page

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

Open in Google Maps ↗

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.

ARTHROSCOPIC SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)