Organization Active NPI

Center for Pain Management, SC

  • Interventional Pain Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1619968120
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CENTER FOR PAIN MANAGEMENT, SC
Practice address
6200 W Center St
Milwaukee, WI 53210-2159
Phone
(414) 444-8670
Fax
(414) 444-8678
NPI assigned
Nov 3, 2005
Last updated
May 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Nosheen Hasan, MDNPI 1003800285
Title
Owner
Phone
(414) 444-8670

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)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X WI
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

6200 W Center St
Milwaukee, WI 53210-2159

Mailing address

PO Box 13857
Wauwatosa, WI 53213-0857
Phone (414) 444-8670

Other identifiers 1

IdentifierTypeStateIssuer
21273400MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412000551 WI Part B Supplier - Clinic/Group Practice 3971597154 Receives reassigned benefits from 4 practitioners
Practice locations: Milwaukee, WI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1084726Center for Pain Management SC6200 W Center St, Milwaukee, WI 53210AccreditationMar 12, 2027
52D2124240Center for Pain Management6200 W Center Street, Milwaukee, WI 53210Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

3070 N 51st St
Ste 606
Milwaukee, WI 53210
Phone (414) 444-8670

6200 W Center St
Milwaukee, WI 53210
Phone (414) 444-8670

7235 W Appleton Ave
Ste 102
Milwaukee, WI 53216
Phone (414) 444-8670

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

Practitioners & affiliated clinicians

Practitioners 5

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": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1619968120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13857",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532130857",
            "telephone_number": "414-444-8670",
            "fax_number": "414-444-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W CENTER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102159",
            "telephone_number": "414-444-8670",
            "fax_number": "414-444-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN MANAGEMENT, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "NOSHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-444-8670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21273400",
            "state": "WI"
        }
    ],
    "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 May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.