Don D. Axt, P.A.
Individual provider Active NPI Physician Assistant · Menomonee Falls, WI
NPI 1154366367 · NPPES record last updated Aug 26, 2010
Key facts
- NPI
- 1154366367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 396 (WI)
- Practice address
- W180N8085 Town Hall Rd
3SW Suite 4
Menomonee Falls, WI 53051-3518 - Phone
- (262) 532-6899
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Past | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Past | Accepting new patients | |
| Advanced Healthcare SC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 396 | WI | Yes |
Addresses
Primary practice location
W180N8085 Town Hall Rd
3SW Suite 4
Menomonee Falls, WI 53051-3518
Mailing address
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42929500 | Medicaid | WI | |
| P00617883 | Other | WI | RR MEDICARE |
Other providers in Menomonee Falls, WI
- Aurora Health Care Ventures Inc
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc
- Aurora Pharmacy, Inc.
- Aurora Pharmacy, Inc.
- Azpexxtu Specs, LLC
- Umesh Babusukumar
- Sandra Bach
- Ann M Bachar
- Eric J Bachar
All providers in Menomonee Falls, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.