OrganizationActive
Spine Capital Wisconsin LLC
NPI 1104621044 · Neurological Surgery Physician · Appleton, WI
Provider details
- NPI number
- 1104621044
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Koffie, Ceo(812) 756-8888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2105 E Enterprise Ave Fl 2
Appleton, WI 54913-7862
Phone: (920) 333-8878
Street-level locationGet directions
Mailing address
2105 E Enterprise Ave
Appleton, WI 54913-7862
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.