AFFILIATED HEALTH OF WISCONSIN LTD. – NPI #1063433977
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

AFFILIATED HEALTH OF WISCONSIN LTD. is a provider located in WAUWATOSA, WI. NPPES has assigned the NPI number 1063433977 to AFFILIATED HEALTH OF WISCONSIN LTD. on July 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 3 years ago on Aug 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AFFILIATED HEALTH OF WISCONSIN LTD. below.

NPI Profile for
AFFILIATED HEALTH OF WISCONSIN LTD.

NPI Number
1063433977
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AFFILIATED HEALTH OF WISCONSIN LTD.
Primary location
2626 N 76TH ST
SUITE 105
WAUWATOSA, WI 53213-1137
Phone: (414) 774-7794 Fax: (414) 607-3971
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAY MACKMAN
DIRECTOR
Phone: (414) 476-9400
Updated
Certification Date
Aug 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.