CHARLES J. WAISBREN MD S.C.
NPI 1447302492
Internal Medicine in Wauwatosa, WI

NPI Status: Active since January 18, 2007

Contact Information

3077 N MAYFAIR RD
SUITE 100
WAUWATOSA, WI
ZIP 53222
Phone: (414) 771-5900
Fax: (414) 771-4908

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  • Organization
  • Internal Medicine
  • CLIA Number: 52D0391416
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-23-2026

About CHARLES J. WAISBREN MD S.C.

This page provides the complete NPI Profile along with additional information for Charles J. Waisbren Md S.c., an internist established in Wauwatosa, Wisconsin operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1447302492 assigned on January 2007. The practitioner's primary taxonomy code is 207R00000X with license number 25111 (WI). The provider is registered as an organization and their NPI record was last updated 3 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 Dr. Charles J Waisbren Md S.c. (Physician)

NPI
1447302492
Provider Name
CHARLES J. WAISBREN MD S.C.
Entity Type
Organization
Location Address
3077 N MAYFAIR RD SUITE 100 WAUWATOSA, WI 53222
Location Phone
(414) 771-5900
Location Fax
(414) 771-4908
Mailing Address
3077 N MAYFAIR RD SUITE 100 WAUWATOSA, WI 53222
Mailing Phone
(414) 771-5900
Mailing Fax
(414) 771-4908
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
03-07-2023
Code Navigator

An internist like Charles J. Waisbren Md S.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
25111
License State
WI
Taxonomy Description
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.

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

DR. CHARLES J WAISBREN MD S.C.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(414) 771-5900

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
1750481206OTHER (01)WIPERSONAL NPI #

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0391416
Facility Type
Physician Office
Certificate Effective Date
June 24, 2024
Certificate Expiration Date
June 23, 2026
Laboratory Director
DR. CHARLES WAISBREN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Charles J. Waisbren Md S.c. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447302492, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 6 + 0 + 4 + 4 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1447302492.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
3077 N MAYFAIR RD, SUITE 304
MILWAUKEE, WI 53222
Dermatology
3077 N MAYFAIR RD, SUITE 305
WAUWATOSA, WI 53222
Internal Medicine (Infectious Disease)
3077 N MAYFAIR RD, STE 100
WAUWATOSA, WI 53222
Dermatology
3077 N MAYFAIR RD
WAUWATOSA, WI 53222
Physical Therapist
3077 N MAYFAIR RD
WAUWATOSA, WI 53222
Specialist
3077 N MAYFAIR RD, SUITE 306
WAUWATOSA, WI 53222
Surgery (Surgery of the Hand)
3077 N MAYFAIR RD, SUITE 306
MILWAUKEE, WI 53222
Physical Therapist
3077 N MAYFAIR RD
WAUWATOSA, WI 53222
Internal Medicine (Gastroenterology)
3077 N MAYFAIR RD, SUITE 100
MILWAUKEE, WI 53222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447302492, enumerated as an "organization" on January 18, 2007.

The provider is located at 3077 N MAYFAIR RD SUITE 100 WAUWATOSA, WI 53222 and the phone number is (414) 771-5900.

Internal Medicine with taxonomy code 207R00000X.

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