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ARCHWELL HEALTH PROFESSIONAL SERVICES OF WISCONSIN, SC
NPI 1164228797
Internal Medicine in Milwaukee, WI

Active since February 24, 2025CLIA Certified · 3 labs
2730 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212(414) 508-0002 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Dec 24, 2025, Feb 24, 2025 (3 updates tracked since 2025).

About Archwell Health Professional Services Of Wisconsin, Sc NPPES

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

ARCHWELL HEALTH PROFESSIONAL SERVICES OF WISCONSIN, SC (NPI 1164228797), doing business as Archwell Health, is a healthcare organization registered as an internal medicine in Milwaukee, Wisconsin and active in the NPI registry since February 2025. The organization holds 3 active CLIA laboratory certificates and lists Amy Moddesette, Sr. Director, Managed Care Ops, as its authorized official.

NPPES Registry Identity

NPI1164228797
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameARCHWELL HEALTH PROFESSIONAL SERVICES OF WISCONSIN, SC
Location Address2730 N MARTIN LUTHER KING DRMilwaukee, WI 53212-2312
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151
Phone(414) 508-0002
Organization SubpartNo
Authorized OfficialAmy ModdesetteSr. Director, Managed Care Ops · (913) 226-8221
Enumeration DateFebruary 24, 2025
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1164228797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2730 N MARTIN LUTHER KING DR, Milwaukee, WI 53212
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Other Names 1

Doing Business AsArchwell Health

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

CLIA Laboratory Certificates CMS CLIA 3

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 52D2338407

Archwell Health Professional Services Of Wisconsin Sc Archwell Health - Harambee · Milwaukee, WI
Active · expires Feb 9, 2028
CLIA Number52D2338407
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Donald J. Goddard
Laboratory Phone(414) 508-0002
Laboratory LocationArchwell Health Professional Services Of Wisconsin Sc Archwell Health - Harambee2730 N Martin Luther King Dr, Milwaukee, WI 53212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2338402

Archwell Health Professional Services Of Wisconsin Sc Archwell Health - Capitol Heights · Milwaukee, WI
Active · expires Feb 9, 2028
CLIA Number52D2338402
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Donald J. Goddard
Laboratory Phone(414) 508-0839
Laboratory LocationArchwell Health Professional Services Of Wisconsin Sc Archwell Health - Capitol Heights6707 W Hampton Ave, Milwaukee, WI 53212
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2338409

Archwell Health Professional Services Of Wisconsin Sc Archwell Health - Mitchell West · Milwaukee, WI
Active · expires Feb 9, 2028
CLIA Number52D2338409
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Donald J. Goddard
Laboratory Phone(414) 508-2363
Laboratory LocationArchwell Health Professional Services Of Wisconsin Sc Archwell Health - Mitchell West1016 W Layton Ave, Milwaukee, WI 53221
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

EVAN STERLING PLOWGIAN MD
Family Medicine
2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 508-0002
DR. KATHERINE R LICHTENBERG D.O.
Family Medicine
2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 508-0002
TIERA MANUEL FNP
Nurse Practitioner (Family)
2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 508-0002

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 Archwell Health Professional Services Of Wisconsin, Sc's NPI number?

The NPI number for Archwell Health Professional Services Of Wisconsin, Sc is 1164228797. It was assigned to this organization in the NPPES registry on February 24, 2025. The provider is doing business as ArchWell Health.

Where is Archwell Health Professional Services Of Wisconsin, Sc located?

Archwell Health Professional Services Of Wisconsin, Sc is located at 2730 N Martin Luther King Dr, Milwaukee, WI 53212. The listed phone number is (414) 508-0002.

What is Archwell Health Professional Services Of Wisconsin, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Archwell Health Professional Services Of Wisconsin, Sc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Archwell Health Professional Services Of Wisconsin, Sc was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.