Organization
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN JAY CROW M.D. (PRESIDENT)
(715) 832-1400
Entity
Organization
Contact information
Practice address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2217
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
54216
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
WI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249466
—
WI
05
—
100272795
—
WI
05
—
21278700
—
WI
01
—
220399400
OWCP
WI
01
—
2416091
UNITED HEALTHCARE
WI
05
—
41741700
—
WI
01
—
542R9CH
BCBS OF MN
WI
01
—
=========
BLUE CROSS BLUE SHIELD
WI
Enumeration date
05/23/2005
Last updated
07/31/2025
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