Clifford J. Opatken, M.D., S.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CLIFFORD J. OPATKEN, M.D., S.C.

Practice address

791 E Summit Ave
Oconomowoc, WI 53066-3844

Phone

(262) 569-9400

NPI assigned

May 28, 2006

Last updated

Sep 11, 2025By 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

Clifford J Opatken, M.D.NPI 1386628758

Title

Authorized Official

Phone

(262) 569-9400

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Clifford J Opatken, M.D.

  • Anesthesiology Physician
  • West Allis, WI
  • NPI 1386628758
  Authorized official Same address or phone

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710934328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S EXECUTIVE DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054266",
            "telephone_number": "262-787-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 E SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663844",
            "telephone_number": "262-569-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD J. OPATKEN, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "OPATKEN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "262-569-9400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30662700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Chudy, DC
• Caroline Cipriano Hanneman
• City of Oconomowoc
• Dan Thomas Cleary, MD
• Kristin Clevenstine, OTR
• Patricia Glatzel Clough, MS, ATR, LPC
• Coachflow Medical Corporation
• Frieda Marie Coakley, MS/CCC - SLP
• Carla Colella, DPT
• Complete Chiropractic and Rehab Center LLC

• Pain Medicine (Anesthesiology) Physician in Oconomowoc, WI
• Providers in Oconomowoc, 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 Sep 11, 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.