GENEVA SURGICAL SUITES, LLC (NPI# 1447799580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447799580 |
Entity Type | Organization |
Organization Name | GENEVA SURGICAL SUITES, LLC |
Practice Address |
119 Elizabeth Lane Genoa City WI 53128-2124 |
Mailing Address |
119 Elizabeth Ln Genoa City WI 53128-2124 |
Practice Telephone | 2622951213 |
Practice Fax Number | 2622951221 |
Mailing Telephone | 2622951213 |
Mailing Fax Number | 2622951221 |
Enumeration Date | 2017-02-22 |
Last Update Date | 2020-05-12 |
Authorized Official Name | KRISTEN ROEKER (BUSINESS ADMINISTRATOR) |
Authorized Official Telephone | 2622951216 |
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 |
119 ELIZABETH LANE |
City | GENOA CITY |
State | WI |
Zip Code | 53128-2124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558376970 | Nicholas A Batson | Physical Therapist | 313 Freeman Street, Genoa City, WI 53128 | 2006-07-31 |
1164720587 | Genoa City Physical Therapy | Physical Therapist | 313 Freeman Street, Genoa City, WI 53128 | 2011-03-09 |
1679772669 | Mary M. Waller | Dentist | 501 Freeman St., Genoa City, WI 53128-0159 | 2007-07-11 |
1902204878 | Catherine Lindskog | Counselor | 39610 Lake Park Ct, Genoa City, WI 53128-1283 | 2014-12-09 |
1629451786 | Virginia Lantz | Licensed Practical Nurse | W1026 Green Rd, Genoa City, WI 53128-1448 | 2015-07-07 |
1508291238 | Therese Marie O'grady | Registered Nurse | W1007 Violet Rd, Genoa City, WI 53128-1666 | 2013-09-12 |
1144528415 | Sharon Lee Ehrlich | Licensed Practical Nurse | N913 Rose Drive, Genoa City, WI 53128-1924 | 2011-03-10 |
1699066118 | Jaclyn Joy Webster | Registered Nurse | 1007 Mallard Ln, Genoa City, WI 53128-1995 | 2011-05-02 |
1952457269 | Cynthia Rae Klabunde | Registered Nurse | 949 Bonnie Ln, Genoa City, WI 53128-2062 | 2007-01-27 |
1588132260 | Genoa City Fyzical, LLC | Clinic/Center | 112 Elizabeth Ln Unit C, Genoa City, WI 53128-2120 | 2018-11-11 |
Find all providers in zip 53128 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1205454626 | Eye Surgery Center of Wisconsin, LLC | Clinic/Center | 10148 S 27th St, Oak Creek, WI 51354 | 2020-07-13 |
1083242325 | Appleton Surgical Center LLC | Clinic/Center | 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 | 2020-03-31 |
1164056974 | Orthopedic Surgery Center of The Fox Valley LLC | Clinic/Center | 1205 W. American Drive, Neenah, WI 54596-5459 | 2020-03-02 |
1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
1275178444 | Kenosha Digestive Health Center LLC | Clinic/Center | 8220 75th St, Kenosha, WI 53142-7637 | 2019-11-12 |
1851887715 | Southern Lakes Endoscopy LLC | Clinic/Center | 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 | 2018-07-03 |
1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
1629518006 | Great Lakes Surgery LLC | Clinic/Center | 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 | 2017-03-03 |
Find all providers with the same taxonomy |
City | GENOA CITY |
Zip Code | 53128 |
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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.