WISCONSIN LASER AND SURGERY CENTER LLC (NPI# 1871847319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871847319 |
| Entity Type | Organization |
| Organization Name | WISCONSIN LASER AND SURGERY CENTER LLC |
| Practice Address |
10200 W Innovation Dr Ste 700 Milwaukee WI 53226-4825 |
| Mailing Address |
401 Commerce St Ste 600 Nashville TN 37219-2446 |
| Practice Telephone | 4043029196 |
| Mailing Telephone | 6153456900 |
| Mailing Fax Number | 6156917214 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | DAVID W. HOLST (PRESIDENT BOARD OF MANAGERS) |
| Authorized Official Telephone | 6153456900 |
| 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 |
10200 W INNOVATION DR STE 700 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223161 | Athlene A. Alexis | Anesthesiology | 10200 W Innovation Dr, Suite 700, Milwaukee, WI 53226-4825 | 2005-11-25 |
| 1063808095 | Levi Anesthesia Corporation | Anesthesiology | 10200 W Innovation Dr, Milwaukee, WI 53226-4825 | 2015-04-07 |
| 1831443373 | Wlsc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 10200 W Innovation Dr, Ste 700, Milwaukee, WI 53226-4825 | 2012-11-06 |
| 1013070614 | Anne M Fagan | Anesthesiology | 10200 W Innovation Dr, Milwaukee, WI 53226-4825 | 2006-12-18 |
| 1346345956 | Milwaukee Heart Scan, LLC | Specialist | 10200 W Innovation Dr, Suite 600, Milwaukee, WI 53226-4825 | 2006-09-14 |
| 1568404234 | Robert A Lim | Anesthesiology | 10200 W Innovation Dr, Milwaukee, WI 53226-4825 | 2006-06-10 |
| 1598712101 | Rudolfo S. Lastrilla, M.d., S.c. | Anesthesiology | 10200 W Innovation Dr, Suite 700, Milwaukee, WI 53226-4825 | 2006-05-28 |
| 1942257647 | Primitivo I. Reynaldo, M.d., S.c. | Anesthesiology | 10200 W Innovation Dr, Suite 700, Milwaukee, WI 53226-4825 | 2006-05-28 |
| 1891779005 | Primitivo I Reynaldo | Anesthesiology | 10200 W Innovation Dr, Suite 700, Milwaukee, WI 53226-4825 | 2005-12-01 |
| 1649254152 | Rudolfo S Lastrilla | Anesthesiology | 10200 W Innovation Dr, Suite 700, Milwaukee, WI 53226-4825 | 2005-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
| 1104811918 | North Shore Surgical Center A Wi | Clinic/Center | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2005-09-19 |
| 1730586561 | Midwest Foot & Ankle Surgical Center | Clinic/Center | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-11-21 |
| 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 | ||||
Please comment or provide details below to improve the information on WISCONSIN LASER AND SURGERY CENTER LLC.
| 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.