{"npi":"1669584983","type":"NPI-2","status":"active","name":{"display":"Orthopaedic Hospital Of Wisconsin, LLC","other":[],"organization_name":"ORTHOPAEDIC HOSPITAL OF WISCONSIN, LLC","authorised_official":"Brandon Goldbeck"},"specialty":{"primary_taxonomy":"282N00000X","primary_taxonomy_description":"General Acute Care Hospital","slug":"general-acute-care-hospital","schema_org_specialty":null,"all":[{"code":"282N00000X","description":"General Acute Care Hospital","primary":true,"state":"WI","license":"1006"}]},"addresses":[{"purpose":"LOCATION","street_1":"475 W RIVER WOODS PKWY","city":"GLENDALE","state":"WI","postal_code":"532121081","country_code":"US","phone":"4149616800","fax":"4149616778"},{"purpose":"MAILING","street_1":"475 W RIVER WOODS PKWY","city":"GLENDALE","state":"WI","postal_code":"532121081","country_code":"US","phone":"4149616800","fax":"4149616778"}],"license":{"state":"WI","number":"1006"},"identifiers":[{"type_code":"01","label":"Other","value":"7375295","state":null,"issuer":"AETNA PIN"},{"type_code":"01","label":"Other","value":"2076664","state":null,"issuer":"UNITED HEALTH CARE"},{"type_code":"01","label":"Other","value":"137685900","state":null,"issuer":"U.S. DEPT. OF LABOR"},{"type_code":"05","label":"Medicaid","value":"200490820A","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"11023600","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091028000252","type_code":"00-09","type_desc":"PART A PROVIDER - HOSPITAL","state":"WI","pac_id":"4981741709"},{"enrlmt_id":"O20160106001182","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"4981741709"}]},"enumeration_date":"2006-08-31","last_updated":"2023-08-03","_meta":{"source":"NPPES","snapshot_date":"2023-08-03","doc_url":"https://findmynpi.com/api"}}