| Comprehensive Orthopaedics Sc | |
|
7401 104th Ave Suite 110 Kenosha WI 53142-7845 | |
| (262) 764-5891 | |
| (262) 764-9314 |
| Full Name | Comprehensive Orthopaedics Sc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 7401 104th Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Jonathan D Main (PARTNER) |
| Authorized Official Contact | 2627645891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Orthopaedics Sc 7401 104th Ave Suite 110 Kenosha WI 53142-7845 Ph: (262) 764-5891 | Comprehensive Orthopaedics Sc 7401 104th Ave Suite 110 Kenosha WI 53142-7845 Ph: (262) 764-5891 |
| NPI Number | 1295717445 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 09/19/2018 |
| Medicare PECOS PAC ID | 3375445497 |
|---|---|
| Medicare Enrollment ID | O20040121000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295717445 | NPI | - | NPPES |
| 32809300 | Medicaid | WI |
| Provider Name | Michael A Engel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023112588 PECOS PAC ID: 7618881434 Enrollment ID: I20031117000543 |
| Provider Name | Michael Didinsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316928336 PECOS PAC ID: 9830170109 Enrollment ID: I20050822000777 |
| Provider Name | Joshua M Gershtenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962483982 PECOS PAC ID: 1153352596 Enrollment ID: I20050825000809 |
| Provider Name | Eleanor J Figuerres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215983622 PECOS PAC ID: 9335111517 Enrollment ID: I20060208000716 |
| Provider Name | Michael Nute |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376597229 PECOS PAC ID: 7113932120 Enrollment ID: I20060213000514 |
| Provider Name | Michael J Slimack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356558464 PECOS PAC ID: 9436226610 Enrollment ID: I20080930000678 |
| Provider Name | William B Lutes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437123080 PECOS PAC ID: 0345216933 Enrollment ID: I20081022000503 |
| Provider Name | Thomas S Werbie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922030030 PECOS PAC ID: 5294927968 Enrollment ID: I20101013000575 |
| Provider Name | Raymond Rybicki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932170180 PECOS PAC ID: 7810979523 Enrollment ID: I20101018000131 |
| Provider Name | Clay Jamison Frank |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003898255 PECOS PAC ID: 6103818638 Enrollment ID: I20101103001147 |
| Provider Name | Jonathan D Main |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235110255 PECOS PAC ID: 5991607012 Enrollment ID: I20120327000692 |
| Provider Name | Hardik A Vashi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225019243 PECOS PAC ID: 3173789252 Enrollment ID: I20120717000443 |
| Provider Name | Dana M Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811379225 PECOS PAC ID: 3577879139 Enrollment ID: I20150827003317 |
| Provider Name | Nyssa E Slimack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700174125 PECOS PAC ID: 5991011397 Enrollment ID: I20150831002336 |
| Provider Name | John C Pick Jacobs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255607057 PECOS PAC ID: 2466745757 Enrollment ID: I20160725001095 |
| Provider Name | Benjamin J Lasee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942526330 PECOS PAC ID: 6103128152 Enrollment ID: I20160810002929 |
| Provider Name | Desiree A Mengo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447791363 PECOS PAC ID: 7113203217 Enrollment ID: I20170403002593 |
| Provider Name | Natalie N Coorlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447774435 PECOS PAC ID: 9739453515 Enrollment ID: I20170918001128 |
| Provider Name | Matthew S Marcus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316108475 PECOS PAC ID: 1557684958 Enrollment ID: I20190103000792 |
| Provider Name | Jennifer E Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509413 PECOS PAC ID: 4082046958 Enrollment ID: I20191114000775 |
| Provider Name | Alejandra Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073295085 PECOS PAC ID: 4385090521 Enrollment ID: I20231025000908 |
Steven Schwimmer, Do Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5455 Sheridan Rd, 201, Kenosha, WI 53140 Phone: 262-654-2500 Fax: 252-654-2701 | |
Leilane U Sta Romana Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3734 7th Ave, Dominican Building Suite 15, Kenosha, WI 53140 Phone: 262-658-3706 | |
Surya Medical Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142 Phone: 262-564-8636 | |
Genesis Medical Center Of Kenosha, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-925-8353 | |
Great Lakes Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-764-4390 Fax: 262-764-4396 | |
Gevinah Healthcare Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 Washington Rd, Kenosha, WI 53144 Phone: 310-933-5688 | |
Regina Capelli-scheidt M.d,s.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave, Kenosha, WI 53144 Phone: 262-658-8862 Fax: 262-658-8874 |