KENOSHA DIGESTIVE HEALTH CENTER LLC NPI 1275178444

NPI Information

  • NPI: 1275178444
  • Provider Name: KENOSHA DIGESTIVE HEALTH CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 52D2180707
  • Address: 8220 75TH ST
    KENOSHA, WI
    ZIP 53142
  • Phone: (414) 908-6500

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NPI Details

KENOSHA DIGESTIVE HEALTH CENTER LLC is an ambulatory surgical clinic center in Kenosha, WI. KENOSHA DIGESTIVE HEALTH CENTER LLC NPI is 1275178444. The provider is registered as an organization entity type.

The provider's business location address is:

8220 75TH ST
KENOSHA, WI
ZIP 53142-637
Phone: (414) 908-6500
Fax: (414) 908-6565

The provider's authorized official is Amy Jo Burns .
The authorized official title is Director Revenue Cycle Management and has the following contact phone number (262) 970-7825.

The CLIA number assigned to this NPI record is 52D2180707 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)

The enumeration date for this NPI number is 11/12/2019 and was last updated on 1/8/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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