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The Orthopaedic Surgery Center LLC

Clinic/Center, Ambulatory Surgical in Pewaukee, WI. Organization (NPI-2).

NPI number1003976929
StatusActive
Last updated in NPPESSep 4, 2018

Details

NPI
1003976929
Entity type
Organization (NPI-2)
Legal business name
The Orthopaedic Surgery Center LLC
Organization subpart
No
Enumeration date
Dec 11, 2006
Last updated
Sep 4, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical––Yes

Practice location

N15w28300 Golf Rd
Pewaukee, WI 53072

Phone 262-303-5000 · Fax 262-303-5006

Mailing address

N15w28300 Golf Rd
Pewaukee, WI 53072-4800

Phone 262-303-5000 · Fax 262-303-5006

Authorized official

Mark E Smith
Chief Adm Officer
2623035055

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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