Active NPI
Urology Specialists S.C.
- Physician Assistant
- Milwaukee, WI
National Provider Identifier
1891799755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 457-023
- Legal business name
- UROLOGY SPECIALISTS S.C.
- Practice address
- 2350 W Villard Ave
Ste 301
Milwaukee, WI 53209-5084 - Phone
- (414) 527-3000
- Fax
- (414) 527-3114
- NPI assigned
- Jun 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mitchell Wiatrak, M.D.
- Title
- Senior Partner
- Phone
- (414) 527-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31968 | WI | |
| Specialist | 174400000X | 37739 | WI | |
| Specialist | 174400000X | 45820 | WI | |
| Physician Assistant | 363A00000X | 457-023 | WI | Primary |
Addresses
Primary practice location
2350 W Villard Ave
Ste 301
Milwaukee, WI 53209-5084
Mailing address
2350 W Villard Ave
Ste 301
Milwaukee, WI 53209-5084
Phone (414) 527-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3172800 | Medicaid | WI | |
| 32233400 | Medicaid | WI | |
| 34422300 | Medicaid | WI | |
| 42912700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
2315 N Lake Dr
Ste 818
Milwaukee, WI 53211
Phone (414) 272-0595
2350 W Villard Ave
Ste 301
Milwaukee, WI 53209
Phone (414) 527-3000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Glasgow, KY
- NPI 1114914900
-
- Physician Assistant
- Greenfield, WI
- NPI 1265544134
-
- Urology Physician
- Coconut Grove, FL
- NPI 1932171592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1891799755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W VILLARD AVE",
"address_2": "STE 301",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532095084",
"telephone_number": "414-527-3000",
"fax_number": "414-527-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 W VILLARD AVE",
"address_2": "STE 301",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532095084",
"telephone_number": "414-527-3000",
"fax_number": "414-527-3114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY SPECIALISTS S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WIATRAK",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "SENIOR PARTNER",
"authorized_official_telephone_number": "414-527-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "WI",
"license": "31968",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "WI",
"license": "37739",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "WI",
"license": "45820",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "WI",
"license": "457-023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3172800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32233400",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34422300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42912700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- 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.