Surgical Associates of Kenosha S. C.
NPI 1780940478ActiveOrganization· Surgery· Kenosha, WI
Surgery in Kenosha, Wisconsin, registered in NPPES in April 2012. The authorized official on file is Roger Thomas Pacanowski, M.D., President.
Overview
| NPI | 1780940478 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2012 |
| Last updated in NPPES | Apr 6, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 16095 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Surgery providers in Kenosha
- 1417222076
- 1083744486
- 1649216045
- 1720112030