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KENOSHA HAND & PLASTIC SURGERY SC
NPI 1912329905
Plastic Surgery in Kenosha, WI

Active since January 10, 2014
10117 74TH ST STE 100, KENOSHA, WI 53142(262) 656-8237(622) 453-0882 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenosha Hand & Plastic Surgery Sc NPPES

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

KENOSHA HAND & PLASTIC SURGERY SC (NPI 1912329905) is a healthcare organization registered as a plastic surgery in Kenosha, Wisconsin and active in the NPI registry since January 2014. The organization lists Michael Birndorf, Owner, as its authorized official.

NPPES Registry Identity

NPI1912329905
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameKENOSHA HAND & PLASTIC SURGERY SC
Location Address10117 74TH ST STE 100Kenosha, WI 53142-7542
Mailing Address6308 8th Ave # 104Kenosha, WI 53143-5031 · (262) 656-8237 · Fax (262) 671-2134
Phone(262) 656-8237
Fax(622) 453-0882
Organization SubpartNo
Authorized OfficialMichael BirndorfOwner · (262) 656-8237
Enumeration DateJanuary 10, 2014
Last NPPES UpdateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1912329905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WI · 33466020
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
10117 74TH ST STE 100, Kenosha, WI 53142
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Other Identifiers 1

Medicaid31835100WI

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 ›

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 Kenosha Hand & Plastic Surgery Sc's NPI number?

The NPI number for Kenosha Hand & Plastic Surgery Sc is 1912329905. It was assigned to this organization in the NPPES registry on January 10, 2014.

Where is Kenosha Hand & Plastic Surgery Sc located?

Kenosha Hand & Plastic Surgery Sc is located at 10117 74th St Ste 100, Kenosha, WI 53142. The listed phone number is (262) 656-8237.

What is Kenosha Hand & Plastic Surgery Sc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Kenosha Hand & Plastic Surgery Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Kenosha Hand & Plastic Surgery Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenosha Hand & Plastic Surgery Sc was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.