FAMILY & SPORTS ORTHOPAEDIC CENTER, LLC
NPI 1467565978
Specialist in Beaver Dam, WI

Active since August 17, 2006
118 W MAPLE AVE, BEAVER DAM, WI 53916(920) 356-1000(920) 356-0719 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family & Sports Orthopaedic Center, Llc NPPES

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

FAMILY & SPORTS ORTHOPAEDIC CENTER, LLC (NPI 1467565978) is a healthcare organization registered as a specialist in Beaver Dam, Wisconsin and active in the NPI registry since August 2006. The organization lists Robert A Coe, Member, as its authorized official.

NPPES Registry Identity

NPI1467565978
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAMILY & SPORTS ORTHOPAEDIC CENTER, LLC
Location Address118 W MAPLE AVEBeaver Dam, WI 53916-2104
Mailing Address118 W Maple AveBeaver Dam, WI 53916-2104 · (920) 356-1000 · Fax (920) 356-0719
Fax(920) 356-0719
Organization SubpartNo
Authorized OfficialRobert A CoeMember · (920) 356-1000
Enumeration DateAugust 17, 2006
Last NPPES UpdateMarch 2, 2011
NPI 1467565978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WI · 36330
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
118 W MAPLE AVE, Beaver Dam, WI 53916

Other Identifiers 33

Other1003837WI · Physicians Plus
Other1002676WI · Physicians Plus
Other391796912WI · Wps
Medicare UPIND79173WI
Medicare PIN000716220WI
Medicare UPINEO8745WI
Medicare UPINQ76381
Medicaid30821700WI
Medicare PIN000816220WI
Medicare PIN000281043WI
Other15909WI · Dean
Medicare UPINGO6025WI
Medicaid36027400WI
Medicaid40452200WI
Medicaid32123200WI
Medicare PIN000381051WI
Medicaid40349200WI
Medicare PIN000381043WI
Other13843WI · Dean
Medicare PIN200033350WI
Medicare PIN000916220WI
Medicare PIN000281051WI
Other15104WI · Dean
Medicaid30082300WI
Medicaid43020200WI
Medicare PINP00064733WI
Medicare PIN200033640WI
Other11801WI · Dean
Other1034219WI · Physicians Plus
Other2028274WI · Physicians Plus
Other2033322WI · Physicians Plus
Medicare NSC1237790001WI
Medicare PIN000116220WI

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

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.

Durable Medical Equipment & Medical Supplies
118 W MAPLE AVE
BEAVER DAM, WI 53916
Specialist
118 W MAPLE AVE
BEAVER DAM, WI 53916
Physical Therapist (Orthopedic)
118 W MAPLE AVE
BEAVER DAM, WI 53916
Specialist/Technologist (Athletic Trainer)
118 W MAPLE AVE
BEAVER DAM, WI 53916
Orthopaedic Surgery
118 W MAPLE AVE
BEAVER DAM, WI 53916
Orthopaedic Surgery
118 W MAPLE AVE
BEAVER DAM, WI 53916

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 Family & Sports Orthopaedic Center, LLC's NPI number?

The NPI number for Family & Sports Orthopaedic Center, LLC is 1467565978. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Family & Sports Orthopaedic Center, LLC located?

Family & Sports Orthopaedic Center, LLC is located at 118 W Maple Ave, Beaver Dam, WI 53916. The listed phone number is (920) 356-1000.

What is Family & Sports Orthopaedic Center, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Family & Sports Orthopaedic Center, LLC was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.