Individual provider Active NPI

David A Papermaster, P.A.-C.

  • Medical Physician Assistant
  • Waukesha, WI
National Provider Identifier
1225023708
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1381-023 Issued in WI
Practice address
1111 Delafield St Ste 207
Waukesha, WI 53188-3403
Phone
(262) 446-3593
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1381-023 WI Primary

Addresses

Primary practice location

1111 Delafield St Ste 207
Waukesha, WI 53188-3403

Mailing address

1111 Delafield St Ste 207
Waukesha, WI 53188-3403
Phone (262) 446-3593

Other identifiers 1

IdentifierTypeStateIssuer
41959200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000435 WI Practitioner - Physician Assistant 9234131582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates LTD SCGroup PAC ID 0143298919, 15 clinicians

Practice addresses (Care Compare)

1111 Delafield St
Waukesha, WI 53188-3403
Phone (262) 446-3593

123 Hospital Dr
Suite 2006
Watertown, WI 53098-3320
Phone (920) 261-1334

240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 446-3593

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 544-2201

791 Summit Ave
Oconomowoc, WI 53066-3844
Phone (262) 567-0371

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1381-023WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Physician Practices LLC CurrentSince Oct 23, 2025 Accepting new patients
Watertown Physician Practices LLC CurrentSince Oct 23, 2025 Accepting new patients
Lakeshore Medical Clinic, LLC Past Accepting new patients

Locations

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

123 Hospital Dr
Ste 2006
Watertown, WI 53098
Phone (920) 261-1334

Interoperability endpoints

  • Direct secure messaging: david.papermaster.1@17022.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1225023708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 207",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883403",
            "telephone_number": "262-446-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 207",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883403",
            "telephone_number": "262-446-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPERMASTER",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1381-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41959200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.