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AYKARETHU O MAMMEN MD
NPI 1417993791
Surgery in Cedarburg, WI

Active since June 22, 2006
4922 COLUMBIA RD, CEDARBURG, WI 53012(262) 375-2829(262) 375-8513 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aykarethu O Mammen Md NPPES

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

AYKARETHU O MAMMEN MD (NPI 1417993791) is an individual surgery provider in Cedarburg, Wisconsin, licensed in Wisconsin (20052) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1417993791
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameAYKARETHU O MAMMENCredential: MD
Location Address4922 COLUMBIA RDCedarburg, WI 53012-9188
Mailing Address4922 Columbia RdCedarburg, WI 53012-9188 · (262) 375-2829 · Fax (262) 375-8513
Phone(262) 375-2829
Fax(262) 375-8513
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417993791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 20052
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4922 COLUMBIA RD, Cedarburg, WI 53012
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Other Identifiers 3

Medicare UPINB54788
Medicaid31155700WI
Medicare ID-Type Unspecified46044

Other Providers at the Same Location NPPES 8

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

ANN V. JOHN OTR
Occupational Therapist
4922 COLUMBIA RD
CEDARBURG, WI 53012
Ozaukee County (262) 377-4077
JULIE CHICKS, M.D., S.C.
Internal Medicine
4922 COLUMBIA RD
CEDARBURG, WI 53012
Ozaukee County (262) 375-1580
LAURA ELIZABETHANN ROBINSON
Marriage & Family Therapist
4922 COLUMBIA RD
CEDARBURG, WI 53012
Ozaukee County (262) 376-7774
INDIRA MAMMEN MD
Obstetrics & Gynecology
4922 COLUMBIA RD
CEDARBURG, WI 53012
Ozaukee County (262) 375-2829
OZAUKEE FAMILY SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
4922 COLUMBIA RD
CEDARBURG, WI 53012
Ozaukee County (262) 376-7774
OLIVIA SMITH
Social Worker (Clinical)
4922 COLUMBIA RD
CEDARBURG, WI 53012
Ozaukee County (262) 343-0561
MADYSON BELLAROSE CONTRERAS-PERRIN LPC-IT
Counselor
4922 COLUMBIA RD
CEDARBURG, WI 53012
Ozaukee County (262) 376-7774
THOMAS J SHEWCZYK MD SC
Clinic/Center (Primary Care)
4922 COLUMBIA RD, SUITE 100
CEDARBURG, WI 53012
Ozaukee County (262) 375-1580

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 Aykarethu Mammen's NPI number?

The NPI number for Aykarethu Mammen is 1417993791. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Aykarethu Mammen located?

Aykarethu Mammen practices at 4922 Columbia Rd, Cedarburg, WI 53012. The listed phone number is (262) 375-2829.

What is Aykarethu Mammen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Aykarethu Mammen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.