Active NPI
Mequon Plastic Surgeons SC
- Plastic and Reconstructive Surgery Physician
- Mequon, WI
National Provider Identifier
1043135973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- MEQUON PLASTIC SURGEONS SC
- Practice address
- 10554 N Port Washington Rd
Mequon, WI 53092-5537 - Phone
- (414) 352-2766
- Fax
- (262) 241-5816
- NPI assigned
- Aug 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nazih John Yousif, MD
- Title
- MD
- Phone
- (414) 352-2766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
10554 N Port Washington Rd
Mequon, WI 53092-5537
Mailing address
10554 N Port Washington Rd
Mequon, WI 53092-5537
Phone (414) 352-2766
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1043135973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10554 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925537",
"telephone_number": "414-352-2766",
"fax_number": "262-241-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10554 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925537",
"telephone_number": "414-352-2766",
"fax_number": "262-241-5816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEQUON PLASTIC SURGEONS SC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "YOUSIF",
"authorized_official_first_name": "NAZIH",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "414-352-2766",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.