PAIN MANAGEMENT & TREATMENT CENTER, S.C.
NPI 1750412201
Specialist in Milwaukee, WI

Q: What is Pain Management & Treatment Center, S.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 08, 2007CLIA 52D2002830 · Accreditation

8901 N 76TH ST, MILWAUKEE, WI 53223(414) 354-0772(414) 365-0773 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Aug 22, 2020 (2 updates tracked since 2020).

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About Pain Management & Treatment Center, S.c. NPPES

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

PAIN MANAGEMENT & TREATMENT CENTER, S.C. (NPI 1750412201) is a healthcare organization registered as a specialist in Milwaukee, Wisconsin and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through September 11, 2026 and lists Jaison Thekkekara, Treasure, as its authorized official.

NPPES Registry Identity

NPI1750412201

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePAIN MANAGEMENT & TREATMENT CENTER, S.C.

Location Address8901 N 76TH STMilwaukee, WI 53223-1901

Mailing Address8901 N 76th StMilwaukee, WI 53223-1901 · (414) 354-0772 · Fax (414) 365-0773

Phone(414) 354-0772

Fax(414) 365-0773

Organization SubpartNo

Authorized OfficialJaison ThekkekaraTreasure · (972) 839-6292

Enumeration DateMarch 8, 2007

Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1750412201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8901 N 76TH ST, Milwaukee, WI 53223

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Other Identifiers 1

Medicaid32896100WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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).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 Accreditation 52D2002830

Pain Management Treatment Center Sc · Milwaukee, WI

Active · expires Sep 11, 2026

CLIA Number52D2002830

Laboratory TypePhysician Office

Certificate Effective DateSeptember 12, 2024

Certificate Expiration DateSeptember 11, 2026

Laboratory DirectorDr. Jaison Thekkekara

Laboratory Phone(414) 354-0772

Laboratory LocationPain Management Treatment Center Sc8901 N 76th St, Milwaukee, WI 53223

CLIA data matches this NPI record on: Address Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 13

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

DR. ALBERTO C CLAR MD

Anesthesiology