Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

McDonough Orthopaedic and Sports Medicine Center SC

Organization Sports Medicine (Family Medicine) Physician · NPI 1609869460

McDonough Orthopaedic and Sports Medicine Center SC provides Sports Medicine (Family Medicine) Physician services in Wisconsin Rapids, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
3

Practice location Address checks out

410 Dewey St
Wisconsin Rapids, WI 54494-4715 Not confirmed with CMS for 17 years — call before visiting
Phone: (715) 421-5257
Fax: (715) 421-0111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X (WI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1609869460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Christie — Vice President · (715) 421-5257
NPI enumeratedAugust 26, 2005
Last updated in NPPESMarch 5, 2009
Mailing addressPo Box 8075, Wisconsin Rapids, WI 54495-8075