Organization Active NPI

Mequon Plastic Surgeons SC

  • Plastic and Reconstructive Surgery Physician
  • Mequon, WI
National Provider Identifier
1043135973
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
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

Updated by the provider on Aug 11, 2026

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.