Provider Demographics
NPI:1457320145
Name:DUBUQUE ORTHOPAEDIC SURGEONS PC
Entity Type:Organization
Organization Name:DUBUQUE ORTHOPAEDIC SURGEONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIEROTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-557-5999
Mailing Address - Street 1:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52004-0897
Mailing Address - Country:US
Mailing Address - Phone:563-557-5999
Mailing Address - Fax:
Practice Address - Street 1:1500 DELHI ST STE 4200
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001
Practice Address - Country:US
Practice Address - Phone:563-557-5999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IACP8148OtherRR MEDICARE
IAI3192Medicare ID - Type Unspecified
IACP8148OtherRR MEDICARE
IA0197880001Medicare NSC
WI14045Medicare PIN