GREAT LAKES SURGERY CENTER LLC
NPI 1700045168
Clinic/Center - Ambulatory Surgical in Kenosha, WI

NPI Status: Active since June 02, 2008

Contact Information

6123 GREEN BAY RD
SUITE 100
KENOSHA, WI
ZIP 53142
Phone: (262) 657-3668

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About GREAT LAKES SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Great Lakes Surgery Center Llc, a provider established in Kenosha, Wisconsin operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1700045168 assigned on June 2008. The practitioner's primary taxonomy code is 261QA1903X with license number PENDING (WI). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mrs. Lisa K Thiery (Manager)

NPI
1700045168
Provider Name
GREAT LAKES SURGERY CENTER LLC
Entity Type
Organization
Location Address
6123 GREEN BAY RD SUITE 100 KENOSHA, WI 53142
Location Phone
(262) 657-3668
Mailing Address
PO BOX 580772 PLEASANT PRAIRIE, WI 53158
Mailing Phone
(262) 657-3668
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2008
Last Update Date
03-23-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
PENDING
License State
WI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LISA K THIERY

Authorized Official Title
MANAGER
Authorized Official Phone
(262) 657-3668

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700045168, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 0 + 4 + 1 + 0 + 1 + 1 + 2 + 24 = 42

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1700045168.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, STE 100
KENOSHA, WI 53142
Chiropractor
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Psychologist (Clinical)
6123 GREEN BAY RD
KENOSHA, WI 53142
Physical Therapist
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Clinic/Center
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Chiropractor
6123 GREEN BAY RD
KENOSHA, WI 53142
Family Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
In Home Supportive Care
6123 GREEN BAY RD, SUITE 250
KENOSHA, WI 53142
Internal Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Home Health
6123 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142
Physical Therapist
6123 GREEN BAY RD, STE 140
KENOSHA, WI 53142
Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700045168, enumerated as an "organization" on June 02, 2008.

The provider is located at 6123 GREEN BAY RD SUITE 100 KENOSHA, WI 53142 and the phone number is (262) 657-3668.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.