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GREAT LAKES RADIOLOGISTS SC
NPI 1609800291
Radiology - Diagnostic Radiology in New Berlin, WI

Active since July 10, 2006
2875 S 171ST ST, NEW BERLIN, WI 53151(262) 786-3107(262) 780-0442 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Radiologists Sc NPPES

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

GREAT LAKES RADIOLOGISTS SC (NPI 1609800291) is a healthcare organization registered as a diagnostic radiology in New Berlin, Wisconsin and active in the NPI registry since July 2006. The organization lists Thomas Grossman, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1609800291
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGREAT LAKES RADIOLOGISTS SC
Location Address2875 S 171ST STNew Berlin, WI 53151-3200
Mailing AddressPo Box 511400New Berlin, WI 53151-3200 · (262) 786-3107 · Fax (262) 780-0442
Phone(262) 786-3107
Fax(262) 780-0442
Organization SubpartNo
Authorized OfficialThomas GrossmanChief Operating Officer · (262) 780-0357
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609800291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2875 S 171ST ST, New Berlin, WI 53151
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Other Identifiers 1

Medicaid32868800WI

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

Other Providers at the Same Location NPPES 13

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

PETER DRESCHER M.D.
Radiology (Vascular & Interventional Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107
NANCY BLANKENSHIP M.D.
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107
THOMAS CALVY M.D.
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107
KEITH BERNARD M.D.
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107
JEFFERY SCHERER M.D.
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107
ROGER AXTELL M.D.
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107
MATTHEW BREWER M.D.
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107
JOSEPH RHETT WHITNAH M.D.
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Waukesha County (262) 786-3107

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 Great Lakes Radiologists Sc's NPI number?

The NPI number for Great Lakes Radiologists Sc is 1609800291. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Great Lakes Radiologists Sc located?

Great Lakes Radiologists Sc is located at 2875 S 171st St, New Berlin, WI 53151. The listed phone number is (262) 786-3107.

What is Great Lakes Radiologists Sc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Great Lakes Radiologists Sc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.