Individual provider Active NPI

Camellia Eshoa Affi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Milwaukee, WI
National Provider Identifier
1942302971
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
37326 Issued in WI
Practice address
2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone
(414) 585-1448
Fax
(414) 585-2849
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 37326 WI Primary

Addresses

Primary practice location

2323 N Lake Dr
Milwaukee, WI 53211-4508

Mailing address

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 961-5362

Other identifiers 2

IdentifierTypeStateIssuer
1942302971OtherWINPI
32530400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000820 WI Practitioner - Pathology 3274714449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Pathologists SCGroup PAC ID 7113986563, 15 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (262) 687-6600

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7402

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2132

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2363

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 291-1131

3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-7400

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-6692

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-1306

Hospital & facility affiliations

  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37326WIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
North Shore Pathologists SC Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2000 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Feb 25, 2015 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Feb 25, 2015 Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100

13133 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-5850

13133 N Port Washington Rd
Ste G01
Mequon, WI 53097
Phone (262) 243-2500

12800 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-3655

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998

830 E Green Bay Ave
Saukville, WI 53080
Phone (262) 284-7117

830 E Green Bay Ave
Ste 103
Saukville, WI 53080
Phone (262) 268-0606

1414 N Taylor Dr
Ste 210
Sheboygan, WI 53081
Phone (262) 243-2500

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1942302971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114508",
            "telephone_number": "414-961-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114508",
            "telephone_number": "414-585-1448",
            "fax_number": "414-585-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHOA AFFI",
        "first_name": "CAMELLIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "37326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942302971",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32530400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.