PMTC Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PMTC SURGERY CENTER, INC

Practice address

8901 N 76TH St
Milwaukee, WI 53223-1901

Phone

(414) 354-0772

Fax

(414) 365-0773

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Jaison Thekkekara, MD

Title

Treasurer

Phone

(972) 839-6292

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Ambulatory surgical center certification: CCN 52C0001055

Legal name

PMTC SURGERY CTR

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 29, 2003

Last certification

Jul 30, 2003

Ownership / control type

Proprietary

Most recent change of ownership

Feb 20, 2026

Facility address

8901 N 76TH St
Milwaukee, WI 53223

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Yvette Thomas-King, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Milwaukee, WI
  • NPI 1174561914
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1457306888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231901",
            "telephone_number": "414-354-0772",
            "fax_number": "414-365-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231901",
            "telephone_number": "414-354-0772",
            "fax_number": "414-365-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMTC SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "THEKKEKARA",
        "authorized_official_first_name": "JAISON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "972-839-6292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41913300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plume Health PC
• Parker James Plume, PT, DPT
• Joslyn Plumer, DPT
• Matthew Ryan Plunk, MD
• Mallory A Plunkett, AA
• Paula Lynn Pochert, RT (R) (CT)
• Karly Pociask, RN, BSN
• Carol Lynn Pociecha-Palm, OTR
• Judith A Podoll, APNP
• Abigail Poe, APNP

• Ambulatory Surgical Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.