Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAUL W MAMEROW PA-C
NPI 1396788295
Physician Assistant - Medical in Milwaukee, WI

Active since June 14, 2006
945 N 12TH ST, SUITE 4602, MILWAUKEE, WI 53233(414) 219-7450 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Paul W Mamerow Pa-c NPPES

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

PAUL W MAMEROW PA-C (NPI 1396788295) is an individual medical provider in Milwaukee, Wisconsin, licensed in Wisconsin (1177-023) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1396788295
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL W MAMEROWCredential: PA-C
Location Address945 N 12TH ST, SUITE 4602Milwaukee, WI 53233-1305
Mailing Address945 N 12th St, Suite 4602Milwaukee, WI 53233-1305 · (414) 219-7450
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1396788295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 1177-023
945 N 12TH ST, Milwaukee, WI 53233

Other Identifiers 1

Medicaid42990300WI

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.

Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233

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 Paul Mamerow's NPI number?

The NPI number for Paul Mamerow is 1396788295. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Paul Mamerow located?

Paul Mamerow practices at 945 N 12th St Suite 4602, Milwaukee, WI 53233. The listed phone number is (414) 219-7450.

What is Paul Mamerow's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Paul Mamerow was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.