Active NPI
Waukesha Pediatric Associates
- Pediatrics Physician
- Waukesha, WI
National Provider Identifier
1265588172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WAUKESHA PEDIATRIC ASSOCIATES
- Practice address
- 1111 Delafield St
Suite 115
Waukesha, WI 53188-3417 - Phone
- (262) 542-2536
- Fax
- (262) 542-2791
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda J Jenson
- Title
- Office Manager
- Phone
- (262) 542-2536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1111 Delafield St
Suite 115
Waukesha, WI 53188-3417
Mailing address
1111 Delafield St
Suite 115
Waukesha, WI 53188-3417
Phone (262) 542-2536
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0690601 | Waukesha Pediatric Associates | Certificate of waiver | Nov 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
1111 Delafield St
Ste 115
Waukesha, WI 53188
Phone (262) 542-2536
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1972578383
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1508830498
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1639143522
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1083146393
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1619918992
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1780659193
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1093789950
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1518906288
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1689649097
-
- Pediatric Adolescent Medicine Physician
- Waukesha, WI
- NPI 1770558199
-
- Pediatrics Physician
- Pewaukee, WI
- NPI 1609826999
-
- Pediatrics Physician
- Austin, TX
- NPI 1992385892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265588172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "SUITE 115",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883417",
"telephone_number": "262-542-2536",
"fax_number": "262-542-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "SUITE 115",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883417",
"telephone_number": "262-542-2536",
"fax_number": "262-542-2791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAUKESHA PEDIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JENSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "262-542-2536",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
- Waukesha Heart Institute, LTD.
- Waukesha Medical Services, LLC
- Waukesha Ops, LLC (New Perspective - Waukesha)
- Waukesha Pain Center LLC
- Waukesha Pain Center LLC
- Waukesha Pediatric Dental Care SC
- Waukesha Prescription Center LTD (Valucare Pharmacy)
- Waukesha School District (School District of Waukesha)
- Waukesha Springs Operating Company, LLC
- Waukesha Surgical Specialists, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.