Zenith Healthcare SC
Organization Active NPI Cardiovascular Disease Physician · Kenosha, WI
NPI 1043610280 · NPPES record last updated Apr 25, 2019
Key facts
- NPI
- 1043610280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 45622 (WI)
- Legal business name
- ZENITH HEALTHCARE SC
- Practice address
- 6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931 - Phone
- (262) 359-1652
- Fax
- (262) 764-7577
- NPI assigned
- Aug 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Raaid Museitif, M.D.
- Title
- President
- Phone
- (262) 359-1652
Practitioners 27
-
Raaid I Museitif, M.D.
-
Katherine M Abbo, MD FACC
-
Michael C Kreager, MD FACC
-
Billie A Lawler, APNP
-
Mustansir Majeed, MD
-
Peter Mariani, MD
-
Jawaid Quddus, MD, PHD
-
Stefanie Ruffolo, M.D.
-
Cynthia Rae Cernak, D.P.M.
-
Jason R Friedlander, M.D.
-
Leon Besthoff Rosen, M.D.
-
Annmarie D Wendorf, APRN, BC
-
Carly Worden, NP
-
James M Bury, MD
-
Steven M Schwimmer, D.O.
-
David Alexis Calderwood, M.D.
-
Sandra Homan, N.P., R.N.
-
Bruce Luccas, M.D.
-
Angela Seifert, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2134876 | Zenith Healthcare, SC | Certificate of waiver | Aug 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141024001238 | WI | Part B Supplier - Clinic/Group Practice | 3476774001 |
Receives reassigned benefits from 18 practitioners Practice locations: Franklin, WI; Waterford, WI; Salem, WI; Racine, WI; Pleasant Prairie, WI; Mount Pleasant, WI; Milwaukee, WI; Kenosha, WI |
National Provider Directory
Locations
28063 Network Pl
Chicago, IL 60673
6121 Green Bay Rd
Ste 140
Kenosha, WI 53142
3203 80th St
Unit C
Kenosha, WI 53142
Phone (262) 764-6070
3203 80th St
Ste C
Kenosha, WI 53142
6127 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 652-2887
2801 W Kinnickinnic River Pkwy
Ste 446
Milwaukee, WI 53215
2801 W Kinnickinnic River Pkwy
Ste 360
Milwaukee, WI 53215
3805B Spring St
Ste 130
Mount Pleasant, WI 53405
Phone (262) 631-8750
3805 Spring St
Ste 130
Mount Pleasant, WI 53405
8400 Washington Ave
Ste 304
Mount Pleasant, WI 53406
Phone (262) 321-3065
7137 236th Ave
Salem, WI 53168
Phone (262) 800-4672
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 45622 | WI | Yes |
Addresses
Primary practice location
6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931
Mailing address
6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931
Phone (262) 359-1652
Other providers in Kenosha, WI
- Kaitlin Zarletti
- Terry Zehr
- Michael H Zeihen
- Timothy Joseph Zelko
- Ann Zeman
- Tara Lyn Zerzanek
- Christina Marie Zhang
- Alice Zheng
- Lisa A Ziarko
- Mitchell Jacob Ziarko
All providers in Kenosha, WI · Cardiovascular Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.