COMPREHENSIVE ORTHOPAEDICS SC (NPI# 1295717445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295717445 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE ORTHOPAEDICS SC |
| Practice Address |
7401 104th Ave Suite 110 Kenosha WI 53142-7845 |
| Practice Telephone | 2627645891 |
| Practice Fax Number | 2627649314 |
| Mailing Telephone | 2627645891 |
| Mailing Fax Number | 2627649314 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | JONATHAN D MAIN (PARTNER) |
| Authorized Official Telephone | 2627645891 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32809300 | 05 |
| Street Address |
7401 104TH AVE SUITE 110 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110255 | Jonathan D Main | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-08 |
| 1700174125 | Nyssa Slimack | Registered Nurse | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2011-07-19 |
| 1306016654 | Rheumatology and Immunotherapy Center | Internal Medicine | 7401 104th Ave, Suite 110, Kenosha, WI 53142 | 2008-03-03 |
| 1053520544 | Amber D Devine | Physician Assistant | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2007-05-21 |
| 1356558464 | Michael Josef Slimack | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2007-05-17 |
| 1023112588 | Michael Aaron Engel | Podiatrist | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-09-12 |
| 1922030030 | Thomas S Werbie | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-07-07 |
| 1215983622 | Eleanor Jane Figuerres | Obstetrics & Gynecology | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-05-26 |
| 1376597229 | Michael J Nute | Podiatrist | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-05-22 |
| 1750362208 | Karen J Stevens | Physician Assistant | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1942526330 | Benjamin Joseph Lasee | Orthopaedic Surgery | 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 | 2010-04-11 |
| 1720276066 | Alan A. Hyman, Md | Orthopaedic Surgery | 16140 Horton Rd, Kenosha, WI 53142-7937 | 2007-10-11 |
| 1124182068 | Aftab A Ansari | Orthopaedic Surgery | 3601 30th Ave #104, Kenosha, WI 53144 | 2006-12-21 |
| 1235110255 | Jonathan D Main | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-08 |
| 1750387684 | Alan A. Hyman | Orthopaedic Surgery | 16140 Horton Rd., Kenosha, WI 53142-7937 | 2005-06-24 |
| 1366844714 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | 2014-09-17 |
| 1548460082 | Karl B Scheidt Md, Sc | Orthopaedic Surgery | 3601 30th Ave, Kenosha, WI 53144-1695 | 2007-07-23 |
| 1356558464 | Michael Josef Slimack | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2007-05-17 |
| 1992812002 | John L Trotter | Orthopaedic Surgery | 10400 75th St, #301, Kenosha, WI 53142 | 2006-08-24 |
| 1447271309 | Branko Prpa | Orthopaedic Surgery | 6308 8th Ave, Suite 1020, Kenosha, WI 53143-5031 | 2006-07-23 |
| Find all providers in KENOSHA | ||||
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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.