Healthcare Provider Details

I. General information

NPI: 1003946195
Provider Name (Legal Business Name): MEDICAL ART PROSTHETICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7818 BIG SKY DR STE 111
MADISON WI
53719-4983
US

IV. Provider business mailing address

7818 BIG SKY DR STE 111
MADISON WI
53719-4983
US

V. Phone/Fax

Practice location:
  • Phone: 608-833-7002
  • Fax: 608-893-6404
Mailing address:
  • Phone: 608-833-7002
  • Fax: 608-893-6404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code229N00000X
TaxonomyAnaplastologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY G GION
Title or Position: ANAPLASTOLOGIST/PROSTHETIST/OWNER
Credential: CCA, BOCP
Phone: 608-833-7002