NPIMap

Organization Active NPI

Neurologic Associates of Wisconsin LTD

  • Neurology Physician
  • Waukesha, WI
National Provider Identifier
1710093968
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGIC ASSOCIATES OF WISCONSIN LTD
Practice address
1111 Delafield St Ste 105
Waukesha, WI 53188-3402
Phone
(262) 542-9503
Fax
(262) 522-7286
NPI assigned
Aug 21, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Diana Boblin
Title
Practice Manager
Phone
(262) 542-0074

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Neurological Surgery Physician 207T00000X
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

1111 Delafield St Ste 105
Waukesha, WI 53188-3402

Mailing address

1111 Delafield St Ste 105
Waukesha, WI 53188-3402
Phone (262) 542-9503

National Provider Directory

National Provider Directory
Tax ID family
Neurologic Associates of Wisconsin LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 Delafield St
Ste 105
Waukesha, WI 53188
Phone (262) 542-9503

Practitioners & affiliated clinicians

Practitioners 2

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1710093968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 105",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883402",
            "telephone_number": "262-542-9503",
            "fax_number": "262-522-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 105",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883402",
            "telephone_number": "262-542-9503",
            "fax_number": "262-522-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC ASSOCIATES OF WISCONSIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BOBLIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "262-542-0074"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.