SPINE CENTER OF WISCONSIN SC
NPI 1467561506
Clinic/Center - Medical Specialty in Milwaukee, WI

Q: What is Spine Center Of Wisconsin Sc's NPI number?

The NPI number for Spine Center Of Wisconsin Sc is 1467561506. It was assigned to this organization in the NPPES registry on August 30, 2006.

Q: What is Spine Center Of Wisconsin Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since August 30, 2006

2801 W KINNICKINNIC RIVER PKWY STE 355, MILWAUKEE, WI 53215(414) 235-3623(414) 235-3623 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Spine Center Of Wisconsin Sc NPPES

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

SPINE CENTER OF WISCONSIN SC (NPI 1467561506) is a healthcare organization registered as a medical specialty in Milwaukee, Wisconsin and active in the NPI registry since August 2006. The organization lists Mary J Banach, Ofc Mgr, as its authorized official.

NPPES Registry Identity

NPI1467561506

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameSPINE CENTER OF WISCONSIN SC

Location Address2801 W KINNICKINNIC RIVER PKWY STE 355Milwaukee, WI 53215-3695

Mailing AddressPo Box 320695Franklin, WI 53132 · (414) 235-3623 · Fax (414) 235-3623

Phone(414) 235-3623

Fax(414) 235-3623

Organization SubpartNo

Authorized OfficialMary J BanachOfc Mgr · (414) 235-3623

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 18, 2008

✔ NPI 1467561506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in WI · 19042

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X · License XM39276 (WI)

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

2801 W KINNICKINNIC RIVER PKWY STE 355, Milwaukee, WI 53215

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Other Identifiers 4

Medicare UPINB52378WI

Medicaid30876700WI

Medicare NSC0611030001WI

Medicare PIN000002610WI

Other Providers at the Same Location NPPES

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

STEPHEN P DELAHUNT MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2801 W KINNICKINNIC RIVER PKWY STE 355
MILWAUKEE, WI 53215

Milwaukee County (414) 235-3623

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 Center Of Wisconsin Sc's NPI number?

The NPI number for Spine Center Of Wisconsin Sc is 1467561506. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Spine Center Of Wisconsin Sc located?

Spine Center Of Wisconsin Sc is located at 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI 53215. The listed phone number is (414) 235-3623.

What is Spine Center Of Wisconsin Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Spine Center Of Wisconsin Sc was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.