Sports Medicine Center S C
NPI 1093729055ActiveOrganization· Orthopaedic Surgery· Appleton, WI
Orthopaedic Surgery in Appleton, Wisconsin, registered in NPPES in July 2006. The authorized official on file is Etienne A. Mejia, M.D., Presdient. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093729055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Jan 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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