NPIMap

Organization Active NPI

Pain Physicians of Wisconsin, SC

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
National Provider Identifier
1790537546
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAIN PHYSICIANS OF WISCONSIN, SC
Practice address
34 Schroeder CT Ste 100
Madison, WI 53711-2528
Phone
(262) 297-7246
Fax
(888) 714-0578
NPI assigned
Apr 4, 2024
Organization subpart
Yes
Parent organization
PAIN PHYSICIANS OF WISCONSIN, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Melissa L Beardsley
Title
Practice Manager
Phone
(608) 291-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

34 Schroeder CT Ste 100
Madison, WI 53711-2528

Mailing address

PPW Madison DME
2500 West Layton Avenue, Suite 120
Milwaukee, WI 53221-2528
Phone (262) 297-7246

National Provider Directory

National Provider Directory
Tax ID family
Pain Physicians of Wisconsin SC10 organizations share this tax ID, including this one
Part of
Pain Physicians of Wisconsin SC

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1790537546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PPW MADISON DME",
            "address_2": "2500 WEST LAYTON AVENUE, SUITE 120",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212528",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SCHROEDER CT STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112528",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN PHYSICIANS OF WISCONSIN, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN PHYSICIANS OF WISCONSIN, SC",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "608-291-4866"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.