1. Home
  2. Directory
  3. Wisconsin
  4. Wauwatosa
  5. Physical Medicine Rehabilitation
  6. NPI Profile

AFFILIATED HEALTH OF WISCONSIN LTD.
NPI 1063433977
Physical Medicine & Rehabilitation - Pain Medicine in Wauwatosa, WI

Active since July 23, 2006CLIA 52D2091830 · Waiver
2626 N 76TH ST, SUITE 105, WAUWATOSA, WI 53213(414) 774-7794(414) 607-3971 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Affiliated Health Of Wisconsin Ltd. NPPES

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

AFFILIATED HEALTH OF WISCONSIN LTD. (NPI 1063433977) is a healthcare organization registered as a pain medicine in Wauwatosa, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Jay L Mackman, Director, as its authorized official.

NPPES Registry Identity

NPI1063433977
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameAFFILIATED HEALTH OF WISCONSIN LTD.
Location Address2626 N 76TH ST, SUITE 105Wauwatosa, WI 53213-1137
Mailing Address2626 N 76th St, Suite 105Wauwatosa, WI 53213-1137 · (414) 774-7794 · Fax (414) 607-3971
Phone(414) 774-7794
Fax(414) 607-3971
Organization SubpartNo
Authorized OfficialJay L MackmanDirector · (414) 476-9400
Enumeration DateJuly 23, 2006
Last NPPES UpdateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1063433977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition

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.

Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedRadiologic Technologist · Computed TomographyTaxonomy 2471C3401X
Also ListedPhysician AssistantTaxonomy 363A00000X
2626 N 76TH ST, Wauwatosa, WI 53213
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.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 52D2091830

Affiliated Health Of Wisconsin · Wauwatosa, WI
Active · expires Feb 19, 2027
CLIA Number52D2091830
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorDr. Connor M. Peck
Laboratory Phone(414) 771-2707
Laboratory LocationAffiliated Health Of Wisconsin2626 N 76th St, Suite 105, Wauwatosa, WI 53213
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JAY L. MACKMAN, DDS
Dentist (General Practice)
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400
MS. KATHY LOUISE SHEBESTA PT
Physical Therapist
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
MARLON WILLIAMS
Physical Therapy Assistant
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
INGRID L BARBER
Physical Therapy Assistant
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
ROBERT WALKER MIER D.D.S.
Dentist (Oral and Maxillofacial Pathology)
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400
GINA CIFALDI M.S., R.T.(R)
Radiologic Technologist
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 771-9171
DR. DANIEL E TACHE D.M.D.,F.A.G.D.
Dentist
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400
PATRICIA L PITTMAN
Dental Hygienist
2626 N 76TH ST, SUITE101
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400

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 Affiliated Health Of Wisconsin Ltd.'s NPI number?

The NPI number for Affiliated Health Of Wisconsin Ltd. is 1063433977. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Affiliated Health Of Wisconsin Ltd. located?

Affiliated Health Of Wisconsin Ltd. is located at 2626 N 76th St Suite 105, Wauwatosa, WI 53213. The listed phone number is (414) 774-7794.

What is Affiliated Health Of Wisconsin Ltd.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Affiliated Health Of Wisconsin Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2091830) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Affiliated Health Of Wisconsin Ltd. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Affiliated Health Of Wisconsin Ltd. 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 Affiliated Health Of Wisconsin Ltd. was last updated on August 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.