ORTHOPAEDIC CENTERS OF WISCONSIN S C – Orthopaedic Surgery Physician, NPI 1174977433

ORTHOPAEDIC CENTERS OF WISCONSIN S C is a healthcare provider. based in Wausau, Wisconsin. specializing in Orthopaedic Surgery Physician. The NPI Number for ORTHOPAEDIC CENTERS OF WISCONSIN S C is 1174977433

Main info

Organization
Name
ORTHOPAEDIC CENTERS OF WISCONSIN S C
NPI
1174977433
Phone
(715) 907-0900
Address
3901 STEWART AVE
Authorized Official
SHANE MELENBACKER ADMINISTRATOR
Enumeration Date
22 April 2016
Last Update Date
23 February 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for ORTHOPAEDIC CENTERS OF WISCONSIN S C

  • 3901 STEWART AVE

    WAUSAU, WI 544013948

    Phone: (715) 907-0900

    Type: Location

  • Westhill Drive, Wausau, Marathon County, Wisconsin, 54401, United States

    WAUSAU, WI 544014707

    Phone: (715) 344-2167

    Fax: (715) 344-4494

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-27

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54401)

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Frequently asked questions

What unique ID ties claims to ORTHOPAEDIC CENTERS OF WISCONSIN S C?
NPI 1174977433 is assigned to ORTHOPAEDIC CENTERS OF WISCONSIN S C under the national enumeration system.
Is ORTHOPAEDIC CENTERS OF WISCONSIN S C's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ORTHOPAEDIC CENTERS OF WISCONSIN S C?
The page reflects Orthopaedic Surgery Physician for ORTHOPAEDIC CENTERS OF WISCONSIN S C. Clinical services aligned with this taxonomy classification.
Does ORTHOPAEDIC CENTERS OF WISCONSIN S C practice in Wisconsin?
You will see Wausau, Wisconsin on file for ORTHOPAEDIC CENTERS OF WISCONSIN S C alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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