WATERTOWER PAIN CONSULTANTS, SC
NPI 1053389544
Anesthesiology - Pain Medicine in Glendale, WI

Active since March 09, 2006
575 W RIVER WOODS PKWY, #205, GLENDALE, WI 53212(414) 962-6700 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Anesthesiology
  • Pain Medicine

About WATERTOWER PAIN CONSULTANTS, SC

This page provides the complete NPI Profile along with additional information for Watertower Pain Consultants, Sc, a provider established in Glendale, Wisconsin operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1053389544 assigned on March 2006. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Stephen Donatello Md (President)

NPI
1053389544 Verify this NPI
Provider Name
WATERTOWER PAIN CONSULTANTS, SC
Entity Type
Organization
Location Address
575 W RIVER WOODS PKWY #205 GLENDALE, WI 53212
Location Phone
(414) 962-6700
Mailing Address
575 W RIVER WOODS PKWY #205 GLENDALE, WI 53212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2006
Last Update Date
10-09-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN DONATELLO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(414) 962-6700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000001438MEDICARE PIN (08) 
21298700MEDICAID (05)WI 
52D1088766OTHER (01)CLIA

Reviews for WATERTOWER PAIN CONSULTANTS, SC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Orthopaedic Surgery
575 W RIVER WOODS PKWY, STE 100
GLENDALE, WI 53212
Anesthesiology
575 W RIVER WOODS PKWY
GLENDALE, WI 53212
Anesthesiology
575 W RIVER WOODS PKWY
GLENDALE, WI 53212
Orthopaedic Surgery
575 W RIVER WOODS PKWY, SUITE 204
GLENDALE, WI 53212
Specialist/Technologist, Other (Surgical Assistant)
575 W RIVER WOODS PKWY, SUITE 305
MILWAUKEE, WI 53212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053389544, enumerated as an "organization" on March 09, 2006.

The provider is located at 575 W RIVER WOODS PKWY #205 GLENDALE, WI 53212 and the phone number is (414) 962-6700.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.