SPINE CAPITAL WISCONSIN LLC
NPI 1104621044
Neurological Surgery in Appleton, WI

Active since February 14, 2025
2105 E ENTERPRISE AVE FL 2, APPLETON, WI 54913(920) 333-8878 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2025, Sep 19, 2025, Feb 14, 2025 (3 updates tracked since 2025).

About Spine Capital Wisconsin Llc NPPES

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

SPINE CAPITAL WISCONSIN LLC (NPI 1104621044) is a healthcare organization registered as a neurological surgery in Appleton, Wisconsin and active in the NPI registry since February 2025. The organization lists Robert Koffie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104621044
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameSPINE CAPITAL WISCONSIN LLC
Location Address2105 E ENTERPRISE AVE FL 2Appleton, WI 54913-7862
Mailing Address2105 E Enterprise AveAppleton, WI 54913-7862 · (920) 333-8878
Organization SubpartNo
Authorized OfficialRobert KoffieCeo · (812) 756-8888
Enumeration DateFebruary 14, 2025
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1104621044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSurgeryTaxonomy 208600000X
2105 E ENTERPRISE AVE FL 2, Appleton, WI 54913

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Spine Capital Wisconsin LLC's NPI number?

The NPI number for Spine Capital Wisconsin LLC is 1104621044. It was assigned to this organization in the NPPES registry on February 14, 2025.

Where is Spine Capital Wisconsin LLC located?

Spine Capital Wisconsin LLC is located at 2105 E Enterprise Ave Fl 2, Appleton, WI 54913. The listed phone number is (920) 333-8878.

What is Spine Capital Wisconsin LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

What insurance does Spine Capital Wisconsin LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Spine Capital Wisconsin 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 Spine Capital Wisconsin LLC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.