Great Lakes Surgery Center LLC
NPI 1700045168 · Ambulatory Surgical Clinic/Center · Kenosha, WI
Great Lakes Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Kenosha, WI (NPI 1700045168).
Provider details
- NPI number
- 1700045168
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Thiery, Manager(262) 657-3668
- License
- PENDING (WI)
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
18 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
- 2008-06-02
- Last updated
- 2011-03-23
Frequently asked questions
- What is Great Lakes Surgery Center LLC's NPI number?
- Great Lakes Surgery Center LLC's National Provider Identifier (NPI) is 1700045168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Surgery Center LLC?
- Great Lakes Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Lakes Surgery Center LLC located?
- Great Lakes Surgery Center LLC's practice location on file with NPPES is 6123 Green Bay Rd, Kenosha, WI 53142-2927.
- What is Great Lakes Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Surgery Center LLC is (262) 657-3668.
- Who is the authorized official for Great Lakes Surgery Center LLC?
- The authorized official listed on Great Lakes Surgery Center LLC's NPPES record is Lisa Thiery, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Surgery Center LLC's NPI active?
- Yes — Great Lakes Surgery Center LLC's NPI (1700045168) is active in the NPPES registry as of the last update on 2011-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.