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GREEN BAY ROAD MEDICAL SERVICES INC
NPI 1104131960
Clinic/Center - Ambulatory Surgical in Kenosha, WI

Active since August 17, 2010
6127 GREEN BAY ROAD, SUITE 600, KENOSHA, WI 53142(262) 653-9221(262) 653-9229 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Bay Road Medical Services Inc NPPES

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

GREEN BAY ROAD MEDICAL SERVICES INC (NPI 1104131960) is a healthcare organization registered as an ambulatory surgical in Kenosha, Wisconsin and active in the NPI registry since August 2010. The organization lists John C. Matteucci, Facility Director, as its authorized official.

NPPES Registry Identity

NPI1104131960
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGREEN BAY ROAD MEDICAL SERVICES INC
Location Address6127 GREEN BAY ROAD, SUITE 600Kenosha, WI 53142-2930
Mailing Address6127 Green Bay Road, Suite 600Kenosha, WI 53142-2930 · (262) 653-9221 · Fax (262) 653-9229
Phone(262) 653-9221
Fax(262) 653-9229
Organization SubpartNo
Authorized OfficialJohn C. MatteucciFacility Director · (262) 653-9221
Enumeration DateAugust 17, 2010
✔ NPI 1104131960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6127 GREEN BAY ROAD, Kenosha, WI 53142
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Other Providers at the Same Location NPPES 2

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

JOHN C MATTEUCCI JR. M.D.
Urology
6127 GREEN BAY ROAD, SUITE 600
KENOSHA, WI 53142
Kenosha County (262) 653-9221
JOHN C MATTEUCCI JR MD SC
Urology
6127 GREEN BAY ROAD, SUITE 600
KENOSHA, WI 53142
Kenosha County (262) 653-9221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Bay Road Medical Services Inc's NPI number?

The NPI number for Green Bay Road Medical Services Inc is 1104131960. It was assigned to this organization in the NPPES registry on August 17, 2010.

Where is Green Bay Road Medical Services Inc located?

Green Bay Road Medical Services Inc is located at 6127 Green Bay Road Suite 600, Kenosha, WI 53142. The listed phone number is (262) 653-9221.

What is Green Bay Road Medical Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Green Bay Road Medical Services Inc was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.