Wisconsin Interventional Pain Solutions SC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

WISCONSIN INTERVENTIONAL PAIN SOLUTIONS SC

Practice address

2500 N Mayfair Rd Ste 325
Wauwatosa, WI 53226-1443

Phone

(414) 800-5359

Fax

(414) 800-6308

NPI assigned

Jul 18, 2017

Last updated

Jul 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Allan Hofschulz

Title

Partner

Phone

(414) 800-5359

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1700309101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6163 WASHINGTON CIR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132471",
            "telephone_number": "414-800-5359",
            "fax_number": "414-800-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 325",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261443",
            "telephone_number": "414-800-5359",
            "fax_number": "414-800-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN INTERVENTIONAL PAIN SOLUTIONS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "HOFSCHULZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-800-5359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992789390",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Dental Team, a Service Corporation
• Wisconsin Endodontic Group, S.C.
• Wisconsin Healthcare Family Practices and Behavioral Services LLC
• Wisconsin Heart and Vascular Clinics SC
• Wisconsin Heart Center S C
• Wisconsin Orthopedic Physical Therapy
• Wisconsin Pain & Rehab, LLC
• Julianne Witthuhn, MS
• Jodi Roana Witty, P.T.
• Lisa M Wochos, MD

• Pain Medicine (Anesthesiology) Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Pain Medicine (Anesthesiology) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.