Organization Active NPI

NWSC Wi Dr LLC

  • Foot Surgery Podiatrist
  • Milwaukee, WI
National Provider Identifier
1447811633
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
NWSC WI DR LLC
Practice address
1233 N Mayfair Rd Ste 304
Milwaukee, WI 53226-3255
Phone
(414) 257-3322
Fax
(414) 257-3364
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Gail Oden, CASC, MBA
Title
Administrator
Phone
(414) 257-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

1233 N Mayfair Rd Ste 304
Milwaukee, WI 53226-3255

Mailing address

1233 N Mayfair Rd Ste 304
Milwaukee, WI 53226-3255
Phone (414) 257-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190830001438 WI Part B Supplier - Clinic/Group Practice 9931437829 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

1233 N Mayfair Rd
Ste 304
Wauwatosa, WI 53226
Phone (414) 257-3322

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1447811633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N MAYFAIR RD STE 304",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263255",
            "telephone_number": "414-257-3322",
            "fax_number": "414-257-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAYFAIR RD STE 304",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263255",
            "telephone_number": "414-257-3322",
            "fax_number": "414-257-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWSC WI DR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "ODEN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-257-3322",
        "authorized_official_credential": "CASC, MBA"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.