OVATION HAND INSTITUTE, LLC (NPI# 1144797614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144797614 |
| Entity Type | Organization |
| Organization Name | OVATION HAND INSTITUTE, LLC |
| Other Organization Name | OVATION HAND INSTITUTE |
| Practice Address |
10532 N Port Washington Rd Mequon WI 53092-5563 |
| Mailing Address |
Po Box 16858 Asheville NC 28816-0858 |
| Practice Telephone | 8444321600 |
| Practice Fax Number | 9209159210 |
| Mailing Telephone | 8287088294 |
| Mailing Fax Number | 8005151908 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | ANGELA MARIE BRASWELL (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8285959331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ovation Hand Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2593 Development Dr, Green Bay, WI 543114269 | 8444321600 | 9209159210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750849428 | Ovation Hand Institute, LLC | Physical Medicine & Rehabilitation | 737 N Michigan Ave Ste 2200, Chicago, IL 60611-6750 | 2019-03-12 |
| Street Address |
10532 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598134 | Sally G Hunt | Pediatrics | 10532 N Port Washington Rd, Suite 1a, Mequon, WI 53092-5563 | 2005-09-14 |
| 1548713506 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2016-07-26 |
| 1295100337 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2015-12-01 |
| 1679984108 | Victoria Cassandra Jackson | Social Worker | 10532 N Port Washington Rd, Mequon, WI 53092 | 2014-05-19 |
| 1154742880 | Larry E Taylor | Psychologist | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-24 |
| 1366873598 | Peggy Nowicki | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-13 |
| 1750711321 | Holly Kay Hallada | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-11-19 |
| 1669712691 | Tiffany Ann Stark | Social Worker | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-02-28 |
| 1295012805 | Stefanie Carol Palmer | Counselor | 10532 N Port Washington Rd, Ste 1b, Mequon, WI 53092-5563 | 2011-11-10 |
| 1811272123 | Mary E Barrett | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564221 | Greg Peter Watchmaker | Orthopaedic Surgery | 1535 W Market St, Mequon, WI 53092-5053 | 2006-07-06 |
| 1013989185 | John Siegert | Orthopaedic Surgery | 12300 N Port Washington Rd, Mequon, WI 53092-3339 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938463 | James L Knavel | Orthopaedic Surgery | 352 Peller Rd, Lake Geneva, WI 53147-4543 | 2006-07-21 |
| 1902850696 | Bone & Joint Clinic S.c. | Orthopaedic Surgery | 225000 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-19 |
| 1053310474 | David James Siverhus | Orthopaedic Surgery | 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 | 2005-07-18 |
| 1922453398 | Orthopaedic Centers of Wisconsin S.c. | Orthopaedic Surgery | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2016-05-04 |
| 1174977433 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 | 2016-04-22 |
| 1427476969 | Michael Derek Vaughn | Orthopaedic Surgery | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2014-04-02 |
| 1104262682 | Jasmine Bauknight | Orthopaedic Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2013-05-10 |
| 1154664100 | Dayton M Opel | Orthopaedic Surgery | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2013-03-28 |
| 1194088567 | Kristin Tompkins Mizerik | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2012-06-20 |
| 1881919892 | David William Meister | Orthopaedic Surgery | 525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.