Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Valley Orthopedic Clinic SC

Organization Orthopaedic Surgery Physician · NPI 1780628925

Valley Orthopedic Clinic SC is an Orthopaedic Surgery Physician in Appleton, Wisconsin. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7

Practice location Address checks out

2105 E Enterprise Ave Ste 111
Appleton, WI 54913-7862
Phone: (920) 731-6611
Fax: (920) 731-6732
Show map & directions

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

Additional practice locations (2)

  • 205 W Green Bay St, Shawano, WI 54166-2309 — (920) 560-1000
  • 102 Grand Seasons Dr, Waupaca, WI 54981-8298 — (920) 560-1000

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1780628925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Sommerville — Director · (920) 731-6611
NPI enumeratedJune 16, 2006
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022
Mailing address2105 E Enterprise Ave, Ste 111, Appleton, WI 54913-7862

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