CMS-1500 Box 24J / 33a • NPI
1609757160
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207XS0117X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
520 VINCENT ST, STEVENS POINT, WI, 54481-1848
✓ 9-Digit EDI 837 ZIP+4 (54481-1848)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1609757160 (ATLAS PROVIDERS, S.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1609757160 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ATLAS PROVIDERS, S.C. |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207XS0117X (Orthopaedic Surgery, Orthopaedic Surgery of the Spine) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 520 VINCENT ST, STEVENS POINT, WI, 54481-1848 |
| Practice Telephone / Fax | Tel: (715) 344-0702 | Fax: (715) 544-4175 |
| Administrative Mailing Address | 520 VINCENT ST, STEVENS POINT, WI, 54481-1848 |
| Enumeration & Last Sync | Enumerated: 2025-09-10 | CMS Record Updated: 2025-09-10 |
| Authorized Official | TODD FAIRCHILD (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207XS0117X)
What Does Taxonomy Code 207XS0117X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207XS0117X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ATLAS PROVIDERS, S.C.)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207LP2900X — Anesthesiology, Pain MedicinePlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: N/A | License: Verified | Primary: Secondary |
2081P2900X — Physical Medicine & Rehabilitation, Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine | State: N/A | License: Verified | Primary: Secondary |
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
208VP0000X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine | State: N/A | License: Verified | Primary: Secondary |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: N/A | License: Verified | Primary: Secondary |
207XS0117X — Orthopaedic Surgery, Orthopaedic Surgery of the SpinePlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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