Mayfair Digestive Health Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MAYFAIR DIGESTIVE HEALTH CENTER, LLC

Practice address

1033 N Mayfair Rd
Suite 104
Wauwatosa, WI 53226-3442

Phone

(414) 454-0600

Fax

(414) 454-0971

NPI assigned

Mar 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Jo Burns

Title

Director Revenue Cycle Management

Phone

(262) 970-7825

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Mayfair Digestive Health Center LLCCCN 52C0001053

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A. Cunningham, MD

  • Gastroenterology Physician
  • Wauwatosa, WI
  • NPI 1225005689
  NPD (past)
• Rajeev Nayar, MD

  • Gastroenterology Physician
  • Milwaukee, WI
  • NPI 1346217023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1013984657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153689",
            "telephone_number": "414-908-6506",
            "fax_number": "414-908-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N MAYFAIR RD",
            "address_2": "SUITE 104",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263442",
            "telephone_number": "414-454-0600",
            "fax_number": "414-454-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR DIGESTIVE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "262-970-7825"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005762",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41913000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Korrin May-Bretl, PTA
• Michelle J May, D.M.D.
• Katelyn Maydaniuk, DPT
• Mayfaif Family Dentistry
• Mayfair Dental Care: Implants, Oral Surgery and Family Dental S.C.
• Mayfair Family Dentistry
• Mayfair Foot Care Clinic S.C.
• Larry E MC Dowell, LMFT
• Todd Francis McAllister
• Andrew Robert McAsey, MD

• All providers in Wauwatosa, WI
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.