GS MICELI DPM, SC (NPI# 1154492668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154492668 |
| Entity Type | Organization |
| Organization Name | GS MICELI DPM, SC |
| Practice Address |
7201 Green Bay Rd Suite A Kenosha WI 53142-3532 |
| Mailing Address |
Po Box 580149 Pleasant Prairie WI 53158-8011 |
| Practice Telephone | 2629256565 |
| Practice Fax Number | 2626974291 |
| Mailing Telephone | 2629256565 |
| Mailing Fax Number | 2626974291 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. GIUSEPPE S MICELI (OWNER) |
| Authorized Official Telephone | 2629256565 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
524 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43208700 | 05 |
| Street Address |
7201 GREEN BAY RD SUITE A |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929064 | Southport Rehab Associates, Inc | Clinic/Center | 7201 Green Bay Rd, Kenosha, WI 53142-3522 | 2005-08-11 |
| 1245610658 | Alwin A Diaz | Nurse Practitioner | 7201 Green Bay Rd, Kenosha, WI 53142-3532 | 2015-06-02 |
| 1245650837 | Ms. Elle Huck, Pta | Physical Therapy Assistant | 7201 Green Bay Rd, Kenosha, WI 53142-3532 | 2014-04-22 |
| 1295984151 | Pamela M Hileman | Physical Therapy Assistant | 7201 Green Bay Rd, Kenosha, WI 53142-3532 | 2008-09-16 |
| 1548369283 | Shelley K Rogers | Physical Therapy Assistant | 7201 Green Bay Rd, Kenosha, WI 53142-3522 | 2006-09-21 |
| 1407959711 | Karen Lynne Tenuta | Physical Therapist | 7201 Green Bay Rd, Kenosha, WI 53142-3532 | 2006-09-06 |
| 1679585145 | Kim M Parrett | Physical Therapy Assistant | 7201 Green Bay Rd, Kenosha, WI 53142-3522 | 2006-08-13 |
| 1619943354 | Giuseppe S Miceli | Podiatrist | 7201 Green Bay Rd, Suite A, Kenosha, WI 53142-3532 | 2006-02-23 |
| 1740255611 | Actra Rehabilitation Associates Inc | Prosthetic/Orthotic Supplier | 7201 Green Bay Rd, Kenosha, WI 53142-3522 | 2006-02-22 |
| 1467441410 | Michael A. Hansen | Physical Therapist | 7201 Green Bay Rd, Kenosha, WI 53142-3522 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619943354 | Giuseppe S Miceli | Podiatrist | 7201 Green Bay Rd, Suite A, Kenosha, WI 53142-3532 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592302 | Third Coast Foot and Ankle Sc | Podiatrist | 7001 S Howell Ave # 500, Oak Creek, WI 53154-1407 | 2020-03-11 |
| 1780878454 | Dr. Donald J. Schneekloth, D.p.m. | Podiatrist | 797 Winneconne Ave., Neenah, WI 54956 | 2007-09-05 |
| 1063614048 | Jack W Hutter Sc | Podiatrist | 422 Summit Ave, Oconomowoc, WI 53066-3749 | 2007-06-02 |
| 1801006986 | Rapids Foot Care Center | Podiatrist | 311 8th St S, Wisconsin Rapids, WI 54494-4622 | 2007-05-23 |
| 1316156318 | Darcia Merritt Dillard | Podiatrist | 11030 W Villa Ave, Milwaukee, WI 53224-2586 | 2007-05-22 |
| 1790819886 | Northwest Surgery Center Inc | Podiatrist | 1233 N Mayfair Rd Ste 304, Milwaukee, WI 53226-3255 | 2007-03-14 |
| 1396822730 | Paul Matthew Zerovec | Podiatrist | 1442 N Farwell Ave Ste 605, Milwaukee, WI 53202-2913 | 2006-11-01 |
| 1194732669 | Glenn A Hansen | Podiatrist | 2331 S Oneida St, Green Bay, WI 54304-5267 | 2006-08-01 |
| 1548294259 | William W Weis | Podiatrist | 331 E Puetz Rd, #105, Oak Creek, WI 53154 | 2006-07-10 |
| 1356378145 | John Julian Renard | Podiatrist | 2005 S. Lake Park Rd, Appleton, WI 54915 | 2006-06-27 |
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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.