Manitowoc Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MANITOWOC SURGERY CENTER, LLC

Practice address

1720 Memorial Drive
Manitowoc, WI 54220

Phone

(920) 683-1250

Fax

(920) 683-1279

NPI assigned

Jul 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kathleen Sue Willhite, MSOLQ

Title

Executive Director

Phone

(920) 683-1250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1033140397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MEMORIAL DRIVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "54220",
            "telephone_number": "920-683-1250",
            "fax_number": "920-683-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MEMORIAL DRIVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "54220",
            "telephone_number": "920-683-1250",
            "fax_number": "920-683-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOWOC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "WILLHITE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-683-1250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOLQ"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41915800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manitowoc Homecare
• Manitowoc Pharmacies Inc
• Manitowoc Pharmacies Inc
• Manitowoc Public School District
• Manitowoc Senior Living, Inc.
• Nicole Mann
• Marcia Christiansen
• Warren G. Marinaccio, DDS
• Maritime Chiropractic LLC
• Mark L Herring M.D., S.C.

• Ambulatory Surgical Clinic/Center in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.