IndividualActive
Amy Wagner, MD
NPI 1134263619 · Pediatric Surgery Physician · Milwaukee, WI
Provider details
- NPI number
- 1134263619
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 52990 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9000 W Wisconsin Ave
Pediatric Surgery
Milwaukee, WI 53226-4874
Phone: (414) 266-6550
Fax: (414) 266-6579
Street-level locationGet directions
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Additional practice locations (4)
- 3195 Hillside DrDelafield, WI 53018-2189Phone: (414) 266-6550Fax: (414) 266-6579
- 1655 W Mequon RdMequon, WI 53092-3254Phone: (414) 266-6550Fax: (414) 266-6579
- 9200 W Wisconsin AveMilwaukee, WI 53226-3522Phone: (414) 955-6900Fax: (414) 955-0079
- 4855 S Moorland RdNew Berlin, WI 53151-7494Phone: (414) 266-6550Fax: (414) 266-6579
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.