Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Surgical Associates of Kenosha S. C.

Organization Surgery Physician · NPI 1780940478

Surgical Associates of Kenosha S. C. provides Surgery Physician services in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012

Practice location Address checks out

7600 2nd Ave
Kenosha, WI 53143-6067 Not confirmed with CMS for 14 years — call before visiting
Phone: (262) 656-8217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 16095 (WI)

Record details

NPI number1780940478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Pacanowski — President · (262) 656-8217
NPI enumeratedApril 6, 2012
Last updated in NPPESApril 6, 2012
Mailing address7600 2nd Ave, Kenosha, WI 53143-6067

Other providers in Kenosha