PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC (NPI# 1043579741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043579741 |
| Entity Type | Organization |
| Organization Name | PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC |
| Practice Address |
959 N Mayfair Rd Milwaukee WI 53226-3465 |
| Mailing Address |
4131 W Loomis Rd Ste 300 Greenfield WI 53221-2059 |
| Practice Telephone | 4149557246 |
| Practice Fax Number | 4149556396 |
| Mailing Telephone | 4143257246 |
| Mailing Fax Number | 4143253770 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | VISHAL LAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4143257246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649663758 | Pain Centers of Wisconsin - Wauwatosa, LLC | Durable Medical Equipment & Medical Supplies | 959 N Mayfair Rd, Wauwatosa, WI 53226-3465 | 2015-03-13 |
| Street Address |
959 N MAYFAIR RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386695435 | Rebecca C Cogwell Anderson | Psychologist | 959 N Mayfair Rd, Mcw Pain Management Clinic, Milwaukee, WI 53226-3465 | 2006-05-13 |
| 1962863522 | Sasha Lechner | Nurse Practitioner | 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 2016-03-10 |
| 1083094759 | Kathryn Egan | Nurse Practitioner | 959 N Mayfair Rd, Milwaukee, WI 53226 | 2015-06-08 |
| 1770982332 | Crystal Colleen Lochhead | Social Worker | 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 2014-08-20 |
| 1912347170 | Kasi Savage Mayhall | Nurse Practitioner | 959 N Mayfair Rd, Mcw Pain Management Center, Milwaukee, WI 53226-3465 | 2013-07-02 |
| 1235392127 | Amit Singh | Anesthesiology | 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 2008-07-09 |
| 1881895209 | Sandra L. Doxtater | Nurse Practitioner | 959 N Mayfair Rd, Pain Management Center, Milwaukee, WI 53226-3465 | 2007-05-31 |
| 1275585028 | Hariharan Shankar | Anesthesiology | 959 N Mayfair Rd, Mcw Pain Management Center, Milwaukee, WI 53226-3465 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1154795649 | Affiliated Surgery Center Inc | Clinic/Center | 4113 N. Port Washington Rd, Milwaukee, WI 53212 | 2015-11-20 |
| 1720413073 | Jacob L Golding | Clinic/Center | 7300 N Beach Dr, Milwaukee, WI 53217-3661 | 2013-09-05 |
| 1346372240 | United Medical Center, LLC | Clinic/Center | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 | 2007-03-09 |
| 1457306888 | Pmtc Surgery Center, Inc | Clinic/Center | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-05-24 |
| 1750358453 | Center for Digestive Health Ltd | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 1030, Milwaukee, WI 53215-3669 | 2006-03-02 |
| 1508851213 | Froedtert Surgery Center, LLC | Clinic/Center | 840 N 87th St, Milwaukee, WI 53226-3586 | 2005-09-19 |
| 1104811918 | North Shore Surgical Center A Wi | Clinic/Center | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2005-09-19 |
| 1730586561 | Midwest Foot & Ankle Surgical Center | Clinic/Center | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-11-21 |
| 1871847319 | Wisconsin Laser and Surgery Center LLC | Clinic/Center | 10200 W Innovation Dr, Ste 700, Milwaukee, WI 53226-4825 | 2012-11-06 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.