Sports Medicine & Orthopedic Center, S.C.

LBN: Sports Medicine & Orthopedic Center, S.C.
Sports Medicine & Orthopedic Center, S.C. is an health care organization with primary practice located at 3033 W Layton Ave Suite 102, Greenfield WI 53221-2628. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Sports Medicine & Orthopedic Center, S.C. can be contacted via phone (414) 647-0033, or through Baldock, Jennifer B via phone (615) 234-5954.

Contact Information

Primary practice address
3033 W Layton Ave Suite 102 Greenfield WI 53221-2628
Phone: (414) 647-0033
Fax: (414) 647-0079
Website:
Map and Directions
Authorized official contact:
Name: Baldock, Jennifer B
Phone: (615) 234-5954

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1164411997
LBN Legal business name Sports Medicine & Orthopedic Center, S.C.
DBA Doing business as
Authorized official Baldock, Jennifer B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Sep 12th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164411997 NPPES
Wisconsin MEDICAID 32685200

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