Green Bay Road Medical Services Inc
NPI 1104131960 · Ambulatory Surgical Clinic/Center · Kenosha, WI
Green Bay Road Medical Services Inc is a Ambulatory Surgical Clinic/Center organization in Kenosha, WI (NPI 1104131960).
Provider details
- NPI number
- 1104131960
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Matteucci, Facility Director(262) 653-9221
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-17
- Last updated
- 2010-08-17
Frequently asked questions
- What is Green Bay Road Medical Services Inc's NPI number?
- Green Bay Road Medical Services Inc's National Provider Identifier (NPI) is 1104131960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Bay Road Medical Services Inc?
- Green Bay Road Medical Services Inc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Green Bay Road Medical Services Inc located?
- Green Bay Road Medical Services Inc's practice location on file with NPPES is 6127 Green Bay Road, Kenosha, WI 53142-2930.
- What is Green Bay Road Medical Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Green Bay Road Medical Services Inc is (262) 653-9221.
- Who is the authorized official for Green Bay Road Medical Services Inc?
- The authorized official listed on Green Bay Road Medical Services Inc's NPPES record is John Matteucci, Facility Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Bay Road Medical Services Inc's NPI active?
- Yes — Green Bay Road Medical Services Inc's NPI (1104131960) is active in the NPPES registry as of the last update on 2010-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.