Spine Capital Wisconsin LLC
NPI 1104621044ActiveOrganization· Neurological Surgery· Appleton, WI
Neurological Surgery in Appleton, Wisconsin, registered in NPPES in February 2025. The authorized official on file is Robert Koffie, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104621044 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2025 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | — |
| Surgery | 208600000X | — | — |
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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