SOUTHEAST WISCONSIN AMBULATORY SURGICAL CENTER S C
NPI 1225153620
Clinic/Center - Ambulatory Surgical in Kenosha, WI

Q: What is Southeast Wisconsin Ambulatory Surgical Center S C's specialty?

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

Active since March 21, 2007

10105 74TH ST, SUITE 102, KENOSHA, WI 53142(262) 697-4301(262) 925-8409 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Southeast Wisconsin Ambulatory Surgical Center S C NPPES

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

SOUTHEAST WISCONSIN AMBULATORY SURGICAL CENTER S C (NPI 1225153620), doing business as Southeast Wisconsin Surgical Suites Sc, is a healthcare organization registered as an ambulatory surgical in Kenosha, Wisconsin and active in the NPI registry since March 2007. The organization lists Cynthia R Cernak, Owner, as its authorized official.

NPPES Registry Identity

NPI1225153620

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHEAST WISCONSIN AMBULATORY SURGICAL CENTER S C

Location Address10105 74TH ST, SUITE 102Kenosha, WI 53142-7519

Mailing Address10105 74th St, Suite 102Kenosha, WI 53142-7519 · (262) 697-4301 · Fax (262) 925-8409

Phone(262) 697-4301

Fax(262) 925-8409

Organization SubpartNo

Authorized OfficialCynthia R CernakOwner · (262) 697-4301

Enumeration DateMarch 21, 2007

Last NPPES UpdateJuly 7, 2014

✔ NPI 1225153620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in WI · 52D1008619

10105 74TH ST, Kenosha, WI 53142

Open in Google Maps ↗

Other Names 1

Former Legal Business NameSoutheast Wisconsin Surgical Suites Sc

Other Providers at the Same Location NPPES 4

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

WISCONSIN NEUROPATHY CENTER LLC

Podiatrist

10105 74TH ST, SUITE 101
KENOSHA, WI 53142

Kenosha County (262) 697-4301

WISCONSIN FOOT & ANKLE CENTER LLC

Podiatrist (Foot & Ankle Surgery)

10105 74TH ST, SUITE 101
KENOSHA, WI 53142

Kenosha County (262) 697-4301

PAIN PHYSICIANS OF WISCONSIN, SC

Non-Pharmacy Dispensing Site

10105 74TH ST
KENOSHA, WI 53142

Kenosha County (262) 297-7246

ABIGAIL SORENSEN-BRITTICH DPT

Physical Therapist

10105 74TH ST, SUITE 103
KENOSHA, WI 53142

Kenosha County (800) 974-4348

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 Southeast Wisconsin Ambulatory Surgical Center S C's NPI number?

The NPI number for Southeast Wisconsin Ambulatory Surgical Center S C is 1225153620. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider was formerly known as Southeast Wisconsin Surgical Suites Sc.

Where is Southeast Wisconsin Ambulatory Surgical Center S C located?

Southeast Wisconsin Ambulatory Surgical Center S C is located at 10105 74th St Suite 102, Kenosha, WI 53142. The listed phone number is (262) 697-4301.

What is Southeast Wisconsin Ambulatory Surgical Center S C'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 Southeast Wisconsin Ambulatory Surgical Center S C was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.