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SURGICAL ASSOCIATES OF KENOSHA S. C.
NPI 1780940478
Surgery in Kenosha, WI

Active since April 06, 2012
7600 2ND AVE, KENOSHA, WI 53143(262) 656-8217 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgical Associates Of Kenosha S. C. NPPES

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

SURGICAL ASSOCIATES OF KENOSHA S. C. (NPI 1780940478) is a healthcare organization registered as a surgery in Kenosha, Wisconsin and active in the NPI registry since April 2012. The organization lists Roger Thomas Pacanowski, President, as its authorized official.

NPPES Registry Identity

NPI1780940478
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL ASSOCIATES OF KENOSHA S. C.
Location Address7600 2ND AVEKenosha, WI 53143-6067
Mailing Address7600 2nd AveKenosha, WI 53143-6067 · (262) 656-8217
Phone(262) 656-8217
Organization SubpartNo
Authorized OfficialRoger Thomas PacanowskiPresident · (262) 656-8217
Enumeration DateApril 6, 2012
✔ NPI 1780940478 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.
7600 2ND AVE, Kenosha, WI 53143
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Other Identifiers 3

Medicaid32860500WI
Medicare UPINB55558
Medicare PIN000032178

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 S. C.'s NPI number?

The NPI number for Surgical Associates Of Kenosha S. C. is 1780940478. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Surgical Associates Of Kenosha S. C. located?

Surgical Associates Of Kenosha S. C. is located at 7600 2nd Ave, Kenosha, WI 53143. The listed phone number is (262) 656-8217.

What is Surgical Associates Of Kenosha S. C.'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 S. C. was last updated on April 6, 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.