Pain Centers of Wisconsin - Wauwatosa, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC

Practice address

959 N Mayfair Rd
Wauwatosa, WI 53226-3465

Phone

(414) 325-7246

NPI assigned

Mar 13, 2015

Last updated

Mar 13, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

APM WISCONSIN MSO, LLCAs reported in NPPES

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

Authorized official

Name

Vishal Lal

Title

Authorized Representative

Phone

(414) 325-7246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1649663758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "SUITE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212057",
            "telephone_number": "414-325-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263465",
            "telephone_number": "414-325-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APM WISCONSIN MSO, LLC",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "LAL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "414-325-7246"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Pacheco
• Helen Padden, MD
• Emilie M Padfield, MD
• Cassandra L Page-Kemp
• Mikayla Jo Pagel
• Sandra Ann Painter, O.T.
• Daniel Palamarchuk
• Patrick Andres Palines, MD
• Amy Pallesen, RN
• Maritza Pallo

• Durable Medical Equipment & Medical Supplies in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.