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MAYFAIR DIGESTIVE HEALTH CENTER, LLC
NPI 1013984657
Clinic/Center - Ambulatory Surgical in Wauwatosa, WI

Active since March 02, 2006CLIA 52D0942395 · Waiver
1033 N MAYFAIR RD, SUITE 104, WAUWATOSA, WI 53226(414) 454-0600(414) 454-0971 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Oct 25, 2020, Aug 22, 2020 (3 updates tracked since 2020).

About Mayfair Digestive Health Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYFAIR DIGESTIVE HEALTH CENTER, LLC (NPI 1013984657) is a healthcare organization registered as an ambulatory surgical in Wauwatosa, Wisconsin and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Amy Jo Burns, Director Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1013984657
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMAYFAIR DIGESTIVE HEALTH CENTER, LLC
Location Address1033 N MAYFAIR RD, SUITE 104Wauwatosa, WI 53226-3442
Mailing Address2801 W Kinnickinnic River Pkwy Ste 1080Milwaukee, WI 53215-3689 · (414) 908-6506 · Fax (414) 908-6510
Phone(414) 454-0600
Fax(414) 454-0971
Organization SubpartNo
Authorized OfficialAmy Jo BurnsDirector Revenue Cycle Management · (262) 970-7825
Enumeration DateMarch 2, 2006
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1013984657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1033 N MAYFAIR RD, Wauwatosa, WI 53226
Open in Google Maps ↗

Other Identifiers 2

Other490005762WI · Railroad Medicare
Medicaid41913000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0942395

Mayfair Digestive Health Center · Wauwatosa, WI
Active · expires Mar 10, 2028
CLIA Number52D0942395
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorDr. Aaron C. Baltz
Laboratory Phone(414) 454-0600
Laboratory LocationMayfair Digestive Health Center1033 N Mayfair Rd Suite 101, Wauwatosa, WI 53226
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
266 services265 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
232 services232 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
130 services129 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
68 services68 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
31 services31 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
20 services20 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT MICHAEL MOLLOY MD
Internal Medicine (Gastroenterology)
1033 N MAYFAIR RD, SUITE 101
WAUWATOSA, WI 53226
Milwaukee County (414) 454-0600
JAMES A. CUNNINGHAM MD
Internal Medicine (Gastroenterology)
1033 N MAYFAIR RD, SUITE 101
WAUWATOSA, WI 53226
Milwaukee County (414) 908-6615
MS. ELIZABETH BAKOS M.A.
Counselor (Professional)
1033 N MAYFAIR RD, SUITE305
WAUWATOSA, WI 53226
Milwaukee County (608) 445-4668
DR. BOB MATTHEW GOUNTIS D.C.
Chiropractor
1033 N MAYFAIR RD, SUITE 303
WAUWATOSA, WI 53226
Milwaukee County (414) 778-1455
MRS. KATHLEEN J VANTHIEL NP
Nurse Practitioner (Adult Health)
1033 N MAYFAIR RD, SUITE 101
WAUWATOSA, WI 53226
Milwaukee County (414) 908-6601
HEATHER CHERNETSKI LPC-IT
Counselor (Professional)
1033 N MAYFAIR RD, SUITE 305
WAUWATOSA, WI 53226
Milwaukee County (414) 302-1233
MRS. JENNIFER ANN EGGERT MS, LPC-IT, NCC
Counselor (Professional)
1033 N MAYFAIR RD, SUITE 305
WAUWATOSA, WI 53226
Milwaukee County (414) 302-1233
MILWAUKEE GI SPECIALISTS SC
Internal Medicine (Gastroenterology)
1033 N MAYFAIR RD, SUITE 101
WAUWATOSA, WI 53226
Milwaukee County (414) 454-0600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayfair Digestive Health Center, LLC's NPI number?

The NPI number for Mayfair Digestive Health Center, LLC is 1013984657. It was assigned to this organization in the NPPES registry on March 2, 2006.

Where is Mayfair Digestive Health Center, LLC located?

Mayfair Digestive Health Center, LLC is located at 1033 N Mayfair Rd Suite 104, Wauwatosa, WI 53226. The listed phone number is (414) 454-0600.

What is Mayfair Digestive Health Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mayfair Digestive Health Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0942395) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mayfair Digestive Health Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Mayfair Digestive Health Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mayfair Digestive Health Center, LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.