Active NPI
Milestone Pediatrics, SC
- Pediatrics Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MILESTONE PEDIATRICS, SC
- Practice address
- 20611 Watertown Rd Ste D&E
Waukesha, WI 53186-1871 - Phone
- (262) 256-0676
- NPI assigned
- Mar 25, 2022
- 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
- Amy M Lautz, MD
- Title
- Owner / President
- Phone
- (414) 241-5730
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X |
Addresses
Primary practice location
20611 Watertown Rd Ste D&E
Waukesha, WI 53186-1871
Mailing address
20611 Watertown Rd Ste D & E
Waukesha, WI 53186-1871
Phone (622) 256-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437125424 | Other | WI | NPI |
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 |
|---|---|---|---|
| 52D2262663 | Milestone Pediatrics SC | Certificate of waiver | Jun 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
20611 Watertown Rd
Ste De
Waukesha, WI 53186
Phone (262) 256-0676
20611 Watertown Rd
Ste D
Waukesha, WI 53186
Phone (262) 782-7021
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Brookfield, WI
- NPI 1437125424
-
- Pediatrics Physician
- New Berlin, WI
- NPI 1649277278
-
- Pediatrics Physician
- New Berlin, WI
- NPI 1891788360
-
- Pediatrics Physician
- Brookfield, WI
- NPI 1750605267
-
- Pediatrics Physician
- New Berlin, WI
- NPI 1518123561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1417607136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20611 WATERTOWN RD STE D & E",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861871",
"telephone_number": "622-256-0676",
"fax_number": "262-205-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20611 WATERTOWN RD STE D&E",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861871",
"telephone_number": "262-256-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILESTONE PEDIATRICS, SC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "LAUTZ",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "414-241-5730",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1437125424",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.