GS MICELI DPM SC NPI 1154492668

NPI Information

  • NPI: 1154492668
  • Provider Name: GS MICELI DPM, SC
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Address: 7201 GREEN BAY RD
    SUITE A
    KENOSHA, WI
    ZIP 53142
  • Phone: (262) 925-6565

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NPI Details

GS MICELI DPM, SC is a foot surgery podiatrist in Kenosha, WI. GS MICELI DPM, SC NPI is 1154492668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7201 GREEN BAY RD
SUITE A
KENOSHA, WI
ZIP 53142-532
Phone: (262) 925-6565
Fax: (262) 697-4291

The provider's authorized official is Giuseppe S Miceli .
The authorized official title is Owner and has the following contact phone number (262) 925-6565.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot Surgery524WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143208700MEDICAIDWISCONSIN
25881250001MEDICARE NSCWISCONSIN
3000032056MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
4T62763MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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