ORTHOPEDIC SURGERY CENTER OF THE FOX VALLEY LLC
NPI 1164056974
Clinic/Center - Ambulatory Surgical in Neenah, WI

Active since March 02, 2020CLIA 52D2192975 · Waiver
1205 W AMERICAN DR, NEENAH, WI 54956(920) 965-6382 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2020, Mar 2, 2020 (2 updates tracked since 2020).

About Orthopedic Surgery Center Of The Fox Valley Llc NPPES

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

ORTHOPEDIC SURGERY CENTER OF THE FOX VALLEY LLC (NPI 1164056974) is a healthcare organization registered as an ambulatory surgical in Neenah, Wisconsin and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Sandy Fragale, Board Chair, as its authorized official.

NPPES Registry Identity

NPI1164056974
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameORTHOPEDIC SURGERY CENTER OF THE FOX VALLEY LLC
Location Address1205 W AMERICAN DRNeenah, WI 54956-1405
Mailing Address2223 Lime Kiln Rd Ste 1Green Bay, WI 54311-6213 · (920) 965-6382
Organization SubpartNo
Authorized OfficialSandy FragaleBoard Chair · (920) 965-9520
Enumeration DateMarch 2, 2020
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
NPI 1164056974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1205 W AMERICAN DR, Neenah, WI 54956

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 52D2192975

Orthopedic Surgery Center Of The Fox Valley, LLC · Neenah, WI
Active · expires Sep 15, 2026
CLIA Number52D2192975
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorDr. Douglas M. Miller
Laboratory Phone(920) 901-5970
Laboratory LocationOrthopedic Surgery Center Of The Fox Valley, LLC1205 W American Dr, Neenah, WI 54956
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
40 services37 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.
30 services29 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.
12 services12 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.
12 services11 patients

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
1205 W AMERICAN DR
NEENAH, WI 54956
Physical Therapist
1205 W AMERICAN DR
NEENAH, WI 54956
Nurse Practitioner
1205 W AMERICAN DR
NEENAH, WI 54956
Physical Therapist
1205 W AMERICAN DR
NEENAH, WI 54956
Durable Medical Equipment & Medical Supplies
1205 W AMERICAN DR
NEENAH, WI 54956
Orthopaedic Surgery (Hand Surgery)
1205 W AMERICAN DR
NEENAH, WI 54956
Internal Medicine (Rheumatology)
1205 W AMERICAN DR
NEENAH, WI 54956
Orthopaedic Surgery
1205 W AMERICAN DR
NEENAH, WI 54956

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 Orthopedic Surgery Center Of The Fox Valley LLC's NPI number?

The NPI number for Orthopedic Surgery Center Of The Fox Valley LLC is 1164056974. It was assigned to this organization in the NPPES registry on March 2, 2020.

Where is Orthopedic Surgery Center Of The Fox Valley LLC located?

Orthopedic Surgery Center Of The Fox Valley LLC is located at 1205 W American Dr, Neenah, WI 54956. The listed phone number is (920) 965-6382.

What is Orthopedic Surgery Center Of The Fox Valley LLC's specialty?

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

Does Orthopedic Surgery Center Of The Fox Valley LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2192975) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orthopedic Surgery Center Of The Fox Valley LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Orthopedic Surgery Center Of The Fox Valley 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 Orthopedic Surgery Center Of The Fox Valley LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.