NORTH SHORE SURGICAL CENTER A WI (NPI# 1104811918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104811918 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE SURGICAL CENTER A WI |
| Practice Address |
7007 N Range Line Rd Milwaukee WI 53209-2620 |
| Practice Telephone | 4143523341 |
| Practice Fax Number | 4142474588 |
| Mailing Telephone | 4143523341 |
| Mailing Fax Number | 4142474588 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HELGA KOWALSKI (ADMINISTRATOR) |
| Authorized Official Telephone | 2625327009 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
7007 N RANGE LINE RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669733010 | Mary T Breger Mdsc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2012-06-01 |
| 1043451651 | Glendale Anesthesia Providers Sc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2009-03-11 |
| 1689695546 | Maelynn D Colinco Mdsc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2006-07-23 |
| 1497776363 | Klc Sc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2006-07-23 |
| 1356362255 | Nancy L Megan Mdsc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2006-07-23 |
| 1508887407 | Catherine C Mingo Mdsc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2006-07-23 |
| 1013938919 | Ismael Sta Romana Md Sc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2006-07-23 |
| 1811918725 | Joan L Stetzer Mdsc | Anesthesiology | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1154795649 | Affiliated Surgery Center Inc | Clinic/Center | 4113 N. Port Washington Rd, Milwaukee, WI 53212 | 2015-11-20 |
| 1720413073 | Jacob L Golding | Clinic/Center | 7300 N Beach Dr, Milwaukee, WI 53217-3661 | 2013-09-05 |
| 1346372240 | United Medical Center, LLC | Clinic/Center | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 | 2007-03-09 |
| 1457306888 | Pmtc Surgery Center, Inc | Clinic/Center | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-05-24 |
| 1750358453 | Center for Digestive Health Ltd | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 1030, Milwaukee, WI 53215-3669 | 2006-03-02 |
| 1508851213 | Froedtert Surgery Center, LLC | Clinic/Center | 840 N 87th St, Milwaukee, WI 53226-3586 | 2005-09-19 |
| 1730586561 | Midwest Foot & Ankle Surgical Center | Clinic/Center | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-11-21 |
| 1871847319 | Wisconsin Laser and Surgery Center LLC | Clinic/Center | 10200 W Innovation Dr, Ste 700, Milwaukee, WI 53226-4825 | 2012-11-06 |
| 1043579741 | Pain Centers of Wisconsin - Wauwatosa, LLC | Clinic/Center | 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 2012-05-15 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.