WAUKESHA PAIN CENTER LLC (NPI# 1295073435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295073435 |
| Entity Type | Organization |
| Organization Name | WAUKESHA PAIN CENTER LLC |
| Practice Address |
813 W Moreland Blvd Waukesha WI 53188-2963 |
| Mailing Address |
4131 W Loomis Rd Ste 300 Greenfield WI 53221-2057 |
| Practice Telephone | 2625441620 |
| Practice Fax Number | 2625441734 |
| Mailing Telephone | 4143257246 |
| Mailing Fax Number | 4143253770 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | VISHAL LAL (CEO) |
| Authorized Official Telephone | 4143253737 |
| 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 |
|---|---|---|---|---|
| 1487217303 | Waukesha Pain Center LLC | Durable Medical Equipment & Medical Supplies | 813 W Moreland Blvd, Waukesha, WI 53188-2963 | 2019-04-16 |
| Street Address |
813 W MORELAND BLVD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487217303 | Waukesha Pain Center LLC | Durable Medical Equipment & Medical Supplies | 813 W Moreland Blvd, Waukesha, WI 53188-2963 | 2019-04-16 |
| 1295129021 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 813 W Moreland Blvd, Waukesha, WI 53188-2963 | 2015-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265981195 | Waukesha Medical Services, LLC | Clinic/Center | N4w22370 Bluemound Rd Ste 201, Waukesha, WI 53186-1683 | 2016-10-04 |
| 1336371020 | Wisconsin Health Center LLC | Clinic/Center | 813 W. Moreland Boulavard, Waukesha, WI 53188 | 2009-08-14 |
| 1932678281 | Vein Center At Allure Medical Spa, Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186-8756 | 2018-11-15 |
| 1053562959 | Prohealth Aligned LLC | Clinic/Center | 1111 Delafield St, Suite 100, Waukesha, WI 53188-3417 | 2008-10-09 |
| 1679694004 | Gi Specialists LLC | Clinic/Center | 1111 Delafield St, Suite 322, Waukesha, WI 53188-3417 | 2007-04-03 |
| 1164572863 | Oaw Asc, LLC | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2007-01-12 |
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| 1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
| 1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
| 1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
| 1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
| Find all providers with the same taxonomy | ||||
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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.