RACINE DIGESTIVE HEALTH CENTER LLC (NPI# 1659903292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659903292 |
Entity Type | Organization |
Organization Name | RACINE DIGESTIVE HEALTH CENTER LLC |
Practice Address |
10340 Washington Ave Sturtevant WI 53177-1607 |
Mailing Address |
2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 |
Practice Telephone | 4149086500 |
Mailing Telephone | 4149086601 |
Enumeration Date | 2020-02-11 |
Last Update Date | 2020-02-11 |
Authorized Official Name | ROBERT KWECH (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4149086507 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
10340 WASHINGTON AVE |
City | STURTEVANT |
State | WI |
Zip Code | 53177-1607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669422093 | Janice A Litza | Family Medicine | 10340 Washington Ave, Sturtevant, WI 53177-1607 | 2006-05-10 |
1457984007 | David Hector Benavides | Occupational Therapist | 10340 Washington Ave, Sturtevant, WI 53177-1607 | 2020-02-21 |
1245585462 | Amrinder Singh | Family Medicine | 10340 Washington Ave, Sturtevant, WI 53177 | 2012-07-14 |
1477660926 | Sharleen Leonard | Family Medicine | 10340 Washington Ave, Sturtevant, WI 53177-1607 | 2006-08-23 |
1699783282 | Jaspal S Arora | Family Medicine | 10340 Washington Ave, Sturtevant, WI 53177-1607 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710170626 | Lawrence Volkert | Dentist | 2753 Wisconsin Street, Sturtevant, WI 53177 | 2007-08-23 |
1023171279 | Lucy Mcauley | Physical Therapist | 8700 Durand Ave, Suite D, Sturtevant, WI 53177 | 2006-12-19 |
1083748255 | Sean P Sheerin | Physical Therapy Assistant | 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 | 2007-03-16 |
1083748271 | Paula J Hatch | Occupational Therapist | 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 | 2007-03-16 |
1275520033 | Robert Stephen Callaghan | Psychiatry & Neurology | 8700 Durand Ave Ste 600, Sturtevant, WI 53177 | 2005-10-05 |
1740518869 | Arlene C Adams | Physical Therapist | 515 Deer Path, Sturtevant, WI 53177-1266 | 2009-12-01 |
1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
1184254336 | Kristiana R Maggard | Occupational Therapist | 10180 Washington Ave # 107, Mount Pleasant, WI 53177-1604 | 2020-01-16 |
1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
1447897004 | Mary Nilles | Physical Therapist | 10180 Washington Ave, Mount Pleasant, WI 53177-1604 | 2019-12-03 |
Find all providers in zip 53177 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
Find all providers with the same taxonomy |
City | STURTEVANT |
Zip Code | 53177 |
Please comment or provide details below to improve the information on RACINE DIGESTIVE HEALTH CENTER LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.