VASCARE - MAYFAIR LLC NPI 1477848992

NPI Information

  • NPI: 1477848992
  • Provider Name: VASCARE - MAYFAIR, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 52D2029033
  • Address: 805 N MAYFAIR RD
    WAUWATOSA, WI
    ZIP 53226
  • Phone: (414) 567-0662

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NPI Details

VASCARE - MAYFAIR, LLC is an ambulatory surgical clinic center in Wauwatosa, WI. VASCARE - MAYFAIR, LLC NPI is 1477848992. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

805 N MAYFAIR RD
WAUWATOSA, WI
ZIP 53226-241
Phone: (414) 567-0662
Fax: (414) 249-6075

The provider's authorized official is Devin Larsen .
The authorized official title is Ceo and has the following contact phone number (208) 340-1840.

The CLIA number assigned to this NPI record is 52D2029033 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)

The enumeration date for this NPI number is 6/13/2011 and was last updated on 2/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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