OrganizationActive
Surgical Associates of Kenosha S. C.
NPI 1780940478 · Surgery Physician · Kenosha, WI
Provider details
- NPI number
- 1780940478
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Pacanowski, President(262) 656-8217
- 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
7600 2nd Ave
Kenosha, WI 53143-6067
Phone: (262) 656-8217
Street-level locationGet directions
Mailing address
7600 2nd Ave
Kenosha, WI 53143-6067
Registry dates
- Enumerated
- 2012-04-06
- Last updated
- 2012-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.