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SURGICAL ASSOCIATES OF KENOSHA, SC
NPI 1417222076
Surgery in Kenosha, WI

Active since March 15, 2012
6308 8TH AVE STE 302, KENOSHA, WI 53143(262) 656-8217 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Surgical Associates Of Kenosha, Sc NPPES

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

SURGICAL ASSOCIATES OF KENOSHA, SC (NPI 1417222076) is a healthcare organization registered as a surgery in Kenosha, Wisconsin and active in the NPI registry since March 2012. The organization lists Roger T. Pacanowski, President, as its authorized official.

NPPES Registry Identity

NPI1417222076
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL ASSOCIATES OF KENOSHA, SC
Location Address6308 8TH AVE STE 302Kenosha, WI 53143-5031
Mailing Address7600 2nd AveKenosha, WI 53143-6067 · (262) 652-5370
Phone(262) 656-8217
Organization SubpartNo
Authorized OfficialRoger T. PacanowskiPresident · (262) 652-5370
Enumeration DateMarch 15, 2012
✔ NPI 1417222076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 16095
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6308 8TH AVE STE 302, Kenosha, WI 53143
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Surgical Associates Of Kenosha, Sc's NPI number?

The NPI number for Surgical Associates Of Kenosha, Sc is 1417222076. It was assigned to this organization in the NPPES registry on March 15, 2012.

Where is Surgical Associates Of Kenosha, Sc located?

Surgical Associates Of Kenosha, Sc is located at 6308 8th Ave Ste 302, Kenosha, WI 53143. The listed phone number is (262) 656-8217.

What is Surgical Associates Of Kenosha, Sc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Associates Of Kenosha, Sc was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.