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VALLEY ORTHOPEDIC CLINIC SC
NPI 1780628925
Clinic/Center - Multi-Specialty in Appleton, WI

Active since June 16, 2006
2105 E ENTERPRISE AVE, STE 111, APPLETON, WI 54913(920) 731-6611(920) 731-6732 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 11, 2022, Oct 5, 2020, Aug 21, 2020 (3 updates tracked since 2020).

About Valley Orthopedic Clinic Sc NPPES

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

VALLEY ORTHOPEDIC CLINIC SC (NPI 1780628925) is a healthcare organization registered as a multi-specialty in Appleton, Wisconsin and active in the NPI registry since June 2006. The organization maintains 2 additional practice locations and lists Amy Sommerville, Director, as its authorized official.

NPPES Registry Identity

NPI1780628925
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVALLEY ORTHOPEDIC CLINIC SC
Location Address2105 E ENTERPRISE AVE, STE 111Appleton, WI 54913-7862
Mailing Address2105 E Enterprise Ave, Ste 111Appleton, WI 54913-7862 · (920) 731-6611 · Fax (920) 731-6732
Phone(920) 731-6611
Fax(920) 731-6732
Organization SubpartNo
Authorized OfficialAmy SommervilleDirector · (920) 731-6611
Enumeration DateJune 16, 2006
Last NPPES UpdateMay 11, 20223 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1780628925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
2105 E ENTERPRISE AVE, Appleton, WI 54913
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Secondary Practice Locations 2

Location 1102 Grand Seasons DrWaupaca, WI 54981-8298 · Phone (920) 560-1000
Location 2205 W Green Bay StShawano, WI 54166-2309 · Phone (920) 560-1000

Other Identifiers 1

Medicaid32748000WI

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

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 20

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

DR. DAVID CHARLES RITZOW M.D.
Orthopaedic Surgery
2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913
Outagamie County (920) 731-6611
MRS. KIM MARIE WILLISON APNP
Nurse Practitioner (Adult Health)
2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913
Outagamie County (920) 731-6611
MS. JESSICA MARIE THEROUX ATC, CSCS
Specialist/Technologist (Athletic Trainer)
2105 E ENTERPRISE AVE, SUITE 113
APPLETON, WI 54913
Outagamie County (920) 991-2561
FOX VALLEY SURGICAL ASSOCIATES LTD
Non-Pharmacy Dispensing Site
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (952) 653-2528
MISS AMANDA AUDREY FISCHER CNA
Nurse's Aide
2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913
Outagamie County (920) 731-6611
KENNETH L. SCHAUFELBERGER, M.D., S.C.
Specialist
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 731-3311
TYLER L VANDERZANDEN PT
Physical Therapist
2105 E ENTERPRISE AVE, SUITE 113
APPLETON, WI 54913
Outagamie County (920) 991-2561
FOX VALLEY ORTHOPAEDIC SURGEON'S ASSOCIATION, INC
Orthopaedic Surgery
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1100

Frequently Asked Questions

What is VALLEY ORTHOPEDIC CLINIC SC's NPI number?

The NPI number assigned to this healthcare provider is 1780628925, enumerated as an "organization" on June 16, 2006.

Where is the provider located?

The provider is located at 2105 E ENTERPRISE AVE STE 111 APPLETON, WI 54913 and the phone number is (920) 731-6611.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

What insurance does VALLEY ORTHOPEDIC CLINIC SC accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.