Organization Active NPI

Dr. Steven M Waldman S.C.

  • Podiatrist
  • Wauwatosa, WI
National Provider Identifier
1376626267
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DR. STEVEN M WALDMAN S.C.
Practice address
10125 W North Ave
Wauwatosa, WI 53226-2426
Phone
(414) 257-0676
Fax
(414) 774-2588
NPI assigned
Oct 23, 2006
Last updated
Dec 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Christopher J Milkie, DPMNPI 1013014166
Title
Owner
Phone
(414) 257-0676

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

10125 W North Ave
Wauwatosa, WI 53226-2426

Mailing address

10125 W North Ave
Wauwatosa, WI 53226-2426
Phone (414) 257-0676

Other practice location 1

7001 S Howell Ave Ste 500
Oak Creek, WI 53154-1407
Phone (414) 764-4500

Other practice location 2

10945 N Port Washington Rd Ste 100
Mequon, WI 53092-5078
Phone (414) 228-6444

Other practice location 3

3333 S Sunnyslope Rd Ste 103A
New Berlin, WI 53151-4504
Phone (262) 821-1588

Other identifiers 2

IdentifierTypeStateIssuer
0002OtherWIMEDICARE GROUP
480021508OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031203000142 WI Part B Supplier - Clinic/Group Practice 1951206077 Receives reassigned benefits from 5 practitioners
Practice locations: Wauwatosa, WI; Oak Creek, WI; Milwaukee, WI; New Berlin, WI; Mequon, WI
O20100930022824 WI DME Supplier - Physician - Podiatry 1951206077 Practice locations: Wauwatosa, WI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3560 S Moorland Rd
New Berlin, WI 53151
Phone (262) 821-1588

3610 Michelle Witmer Memorial Dr
New Berlin, WI 53151
Phone (262) 785-1366

3610 Michelle Witmer Memorial Dr
Ste 110
New Berlin, WI 53151
Phone (262) 821-1588

7001 S Howell Ave
Ste 500
Oak Creek, WI 53154
Phone (414) 764-4500

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1376626267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262426",
            "telephone_number": "414-257-0676",
            "fax_number": "414-774-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262426",
            "telephone_number": "414-257-0676",
            "fax_number": "414-774-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 S Howell Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541407",
            "country_code": "US",
            "telephone_number": "414-764-4500",
            "fax_number": "414-764-4699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10945 N Port Washington Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530925078",
            "country_code": "US",
            "telephone_number": "414-228-6444",
            "fax_number": "414-228-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 S Sunnyslope Rd Ste 103A",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531514504",
            "country_code": "US",
            "telephone_number": "262-821-1588",
            "fax_number": "262-821-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. STEVEN M WALDMAN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "MILKIE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-257-0676",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0002",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480021508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.