Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pain Centers of Wisconsin - Fort Atkinson, LLC

Organization Interventional Pain Medicine Physician · NPI 1316218167

Pain Centers of Wisconsin - Fort Atkinson, LLC is an Interventional Pain Medicine Physician in Fort Atkinson, Wisconsin. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1604 Madison Ave
Fort Atkinson, WI 53538-3101
Phone: (920) 568-6596
Fax: (920) 568-9429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1316218167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bartell — Director/Privacy Officer · (920) 568-6558
NPI enumeratedJanuary 25, 2012
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing addressPo Box 660, Fort Atkinson, WI 53538-0660