Organization Active NPI

Milwaukee Hand Center S C

  • Surgery of the Hand (Surgery) Physician
  • Mequon, WI
National Provider Identifier
1174584478
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
37648 Issued in WI
Legal business name
MILWAUKEE HAND CENTER S C
Practice address
1535 W Market St
Mequon, WI 53092-5053
Phone
(262) 241-9224
Fax
(262) 241-9228
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Dr. Greg Peter Watchmaker, M.D.NPI 1275564221
Title
President
Phone
(262) 241-9224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X 37648 WI Primary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 3576026 WI
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 298026 WI

Addresses

Primary practice location

1535 W Market St
Mequon, WI 53092-5053

Mailing address

1535 W Market St
Mequon, WI 53092-5053
Phone (262) 241-9224

Other identifiers 1

IdentifierTypeStateIssuer
32228800MedicaidWI

Other names 1

  • The Milwaukee Hand Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318001572 WI Part B Supplier - Clinic/Group Practice 1153211412 Receives reassigned benefits from 5 practitioners
Practice locations: Milwaukee, WI; Mequon, WI; Glendale, WI
O20100930095368 WI DME Supplier - Physician - Plastic and Reconstructive SurgeryDME Supplier - Independently-Practicing Physical Therapist 1153211412 Practice locations: Mequon, WI

National Provider Directory

National Provider Directory

Locations

1535 W Market St
Mequon, WI 53092
Phone (262) 241-9224

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1174584478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MARKET ST",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925053",
            "telephone_number": "262-241-9224",
            "fax_number": "262-241-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MARKET ST",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925053",
            "telephone_number": "262-241-9224",
            "fax_number": "262-241-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE HAND CENTER S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "WATCHMAKER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-241-9224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "WI",
            "license": "37648",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "3576026",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "298026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32228800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Milwaukee Hand Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Milwaukee Hand Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.