NPIMap

Organization Active NPI

The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1699720086
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE MEDICAL COLLEGE OF WISCONSIN, INC.
Practice address
8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone
(414) 955-7101
Fax
(414) 955-6264
NPI assigned
May 23, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Mr. Matthew Lester, MBA, MHA, CPA
Title
Executive Vice President Finance
Phone
(414) 955-8704

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548

Mailing address

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031120000259 WI Part B Supplier - Clinic/Group Practice 2668384371 Receives reassigned benefits from 4,441 practitioners
O20031121000146 WI Part B Supplier - Independent Clinical Laboratory 2668384371 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Member organizations 40

Organizations listed as members of this organization in the National Provider Directory.

View all 40

Locations (25 of 94)

1301 E Northland Ave
Appleton, WI 54911
Phone (920) 730-6700

1506 S Oneida St
Ste 500
Appleton, WI 54915
Phone (920) 738-8050

2701 N Oneida St
Ste D
Appleton, WI 54911
Phone (920) 730-4960

12805 W Burleigh Rd
Brookfield, WI 53005
Phone (262) 797-6434

16620 W Bluemound Rd
Ste 400
Brookfield, WI 53005
Phone (262) 789-9090

17500 Gebhardt Rd
Brookfield, WI 53045
Phone (262) 796-3942

19395 W Capitol Dr
Ste 100
Brookfield, WI 53045
Phone (262) 781-0273

21700 Intertech Dr
Brookfield, WI 53045
Phone (262) 532-8300

305 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 789-2540

3150 N Brookfield Rd
Brookfield, WI 53045
Phone (262) 790-9260

9074 N Deerbrook Trl
#4
Brown Deer, WI 53223
Phone (414) 355-3824

313 S Main St
Cedar Grove, WI 53013
Phone (414) 668-8502

W51N932 Keup Rd
Cedarburg, WI 53012
Phone (262) 376-6701

W72N853 Harrison Ave
Cedarburg, WI 53012
Phone (262) 376-6800

W75N624 Wauwatosa Rd
Cedarburg, WI 53012
Phone (262) 376-6500

10101 S 27th St
#4
Franklin, WI 53132
Phone (414) 389-4960

5910 N Milwaukee River Pkwy
Glendale, WI 53209
Phone (414) 351-7170

6373 N Jean Nicolet Rd
Glendale, WI 53217
Phone (414) 228-0099

6701 N Jean Nicolet Rd
Glendale, WI 53217
Phone (414) 351-7524

7025 Pleasant Valley Rd
Grafton, WI 53024
Phone (262) 375-1808

4455 S 108th St
Ste 100
Greenfield, WI 53228
Phone (414) 427-5359

5025 S 116th St
Greenfield, WI 53228
Phone (414) 525-5650

9449 W Forest Home Ave
Hales Corners, WI 53130
Phone (414) 529-6888

9520 W Forest Home Ave
Hales Corners, WI 53130
Phone (414) 425-3100

6308 8th Ave
#3030
Kenosha, WI 53143
Phone (262) 656-3600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Johns on the LakeMilwaukee, WI, CCN 525539 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Jun 23, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5,230

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.

View all 5,230

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1699720086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-955-7101",
            "fax_number": "414-955-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-955-7101",
            "fax_number": "414-955-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL COLLEGE OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "414-955-8704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MHA, CPA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.