PHOENIXC HEALTHCARE, SC
NPI 1821591710
Internal Medicine - Clinical Cardiac Electrophysiology in Kenosha, WI

Q: What is Phoenixc Healthcare, Sc's NPI number?

The NPI number for Phoenixc Healthcare, Sc is 1821591710. It was assigned to this organization in the NPPES registry on March 16, 2018.

Q: What is Phoenixc Healthcare, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Active since March 16, 2018

6121 GREEN BAY RD STE 100, KENOSHA, WI 53142(708) 488-9515 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phoenixc Healthcare, Sc NPPES

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

PHOENIXC HEALTHCARE, SC (NPI 1821591710) is a healthcare organization registered as a clinical cardiac electrophysiology in Kenosha, Wisconsin and active in the NPI registry since March 2018. The organization lists Indrajit Choudhuri, President, as its authorized official.

NPPES Registry Identity

NPI1821591710

Entity TypeOrganization

Primary Taxonomy207RC0001X

Legal Business NamePHOENIXC HEALTHCARE, SC

Location Address6121 GREEN BAY RD STE 100Kenosha, WI 53142-2931

Mailing Address11168 N Lake Shore DrMequon, WI 53092-5811

Phone(708) 488-9515

Organization SubpartNo

Authorized OfficialIndrajit ChoudhuriPresident · (708) 488-9515

Enumeration DateMarch 16, 2018

✔ NPI 1821591710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

6121 GREEN BAY RD STE 100, Kenosha, WI 53142

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 6

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

WILLIAM T MERRITT PA

Physician Assistant