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SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C.
NPI 1952585432
Specialist in West Allis, WI

Active since December 20, 2007
2424 S 90TH ST, SUITE 418, WEST ALLIS, WI 53227(414) 328-7767(414) 328-8127 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sports Medicine & Orthopedic Center, S.c. NPPES

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

SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C. (NPI 1952585432) is a healthcare organization registered as a specialist in West Allis, Wisconsin and active in the NPI registry since December 2007. The organization lists William J Pauers, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1952585432
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPORTS MEDICINE & ORTHOPEDIC CENTER, S.C.
Location Address2424 S 90TH ST, SUITE 418West Allis, WI 53227-2455
Mailing Address3033 W Layton Ave, Suite 102Greenfield, WI 53221-2628 · (414) 647-0033 · Fax (414) 647-0079
Phone(414) 328-7767
Fax(414) 328-8127
Organization SubpartNo
Authorized OfficialWilliam J PauersExecutive Director · (414) 647-0033
Enumeration DateDecember 20, 2007
Last NPPES UpdateDecember 3, 2008
✔ NPI 1952585432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
2424 S 90TH ST, West Allis, WI 53227
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Other Identifiers 3

Medicare NSC0837380002WI
Medicaid32685200WI
Medicare PIN000001621WI

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 20

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

DR. SIMIN GOLESTANI M.D.
Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8080
SUSAN MANZ LARSON MD
Physical Medicine & Rehabilitation
2424 S 90TH ST, SUITE 500
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8600
NICOLE F JENSEN LPC
Counselor (Mental Health)
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 773-4312
WALTER K T WONG MD SC
Psychiatry & Neurology (Neurology)
2424 S 90TH ST, STE. 202
WEST ALLIS, WI 53227
Milwaukee County (414) 328-7646
DR. JUSTIN WILLIAM PETERSON D.O.
Orthopaedic Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255
VIRGINIA R KUENZI NP
Nurse Practitioner
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8150
JONATHAN E KIECHLE
Urology
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 649-1280
LINDSEY MARIA KASTNER PT, DPT, ATC
Physical Therapist
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255

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 Sports Medicine & Orthopedic Center, S.C.'s NPI number?

The NPI number for Sports Medicine & Orthopedic Center, S.C. is 1952585432. It was assigned to this organization in the NPPES registry on December 20, 2007.

Where is Sports Medicine & Orthopedic Center, S.C. located?

Sports Medicine & Orthopedic Center, S.C. is located at 2424 S 90th St Suite 418, West Allis, WI 53227. The listed phone number is (414) 328-7767.

What is Sports Medicine & Orthopedic Center, S.C.'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 Sports Medicine & Orthopedic Center, S.C. was last updated on December 3, 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.