Individual provider Active NPI

Wesley M Ladwig

  • Surgical Physician Assistant
  • Wauwatosa, WI
National Provider Identifier
1598199523
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3190-23 Issued in WI
Practice address
2500 N Mayfair Rd
Suite #500
Wauwatosa, WI 53226-1409
Phone
(414) 257-2525
Fax
(414) 257-1772
NPI assigned
Aug 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3190-23 WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd
Suite #500
Wauwatosa, WI 53226-1409

Mailing address

2500 N Mayfair Rd
Suite #500
Wauwatosa, WI 53226-1409
Phone (414) 257-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000321 WI Practitioner - Physician Assistant 6002050119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 384-6700

17000 L W Bluemound Rd
Brookfield, WI 53005-5951
Phone (262) 207-4680

201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 384-6700

3077 N Mayfair Rd
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

3111 W Rawson Ave
Suite 200
Franklin, WI 53132-8890
Phone (414) 384-6700

7095 S Ballpark Dr
Suite 100
Franklin, WI 53132-6908
Phone (414) 817-6620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
73.65
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3190-23WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Nov 1, 2023 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

Interoperability endpoints

  • Direct secure messaging: wesley.ladwig.1@32957.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1598199523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE #500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE #500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADWIG",
        "first_name": "WESLEY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "3190-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.