OrganizationActive
Gastroenterology Medicine S.c.
NPI 1770544843 · Gastroenterology Physician · Milwaukee, WI
Provider details
- NPI number
- 1770544843
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lidia Diba, Manager(414) 671-0121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3201 S 16th St
2015
Milwaukee, WI 53215-4537
Phone: (414) 671-0121
Fax: (414) 671-6949
Street-level locationGet directions
Mailing address
3201 S 16th St
Milwaukee, WI 53215-4537
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.