OrganizationActive
Surgical Associates of Kenosha, Sc
NPI 1417222076 · Surgery Physician · Kenosha, WI
Surgical Associates of Kenosha, Sc is a Surgery Physician organization in Kenosha, WI (NPI 1417222076).
Provider details
- NPI number
- 1417222076
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Pacanowski, President(262) 652-5370
- License
- 16095 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
6308 8th Ave Ste 302
Kenosha, WI 53143-5031
Phone: (262) 656-8217
Street-level locationGet directions
Mailing address
7600 2nd Ave
Kenosha, WI 53143-6067
Registry dates
- Enumerated
- 2012-03-15
- Last updated
- 2012-03-15
Frequently asked questions
- What is Surgical Associates of Kenosha, Sc's NPI number?
- Surgical Associates of Kenosha, Sc's National Provider Identifier (NPI) is 1417222076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgical Associates of Kenosha, Sc?
- Surgical Associates of Kenosha, Sc is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Surgical Associates of Kenosha, Sc located?
- Surgical Associates of Kenosha, Sc's practice location on file with NPPES is 6308 8th Ave Ste 302, Kenosha, WI 53143-5031.
- What is Surgical Associates of Kenosha, Sc's phone number?
- The practice phone number listed in the NPPES registry for Surgical Associates of Kenosha, Sc is (262) 656-8217.
- Who is the authorized official for Surgical Associates of Kenosha, Sc?
- The authorized official listed on Surgical Associates of Kenosha, Sc's NPPES record is Roger Pacanowski, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgical Associates of Kenosha, Sc's NPI active?
- Yes — Surgical Associates of Kenosha, Sc's NPI (1417222076) is active in the NPPES registry as of the last update on 2012-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.