Greater Milwaukee Surgical Associates SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

21339 Issued in WI

Legal business name

GREATER MILWAUKEE SURGICAL ASSOCIATES SC

Practice address

3033 S 27TH St Ste 200
Milwaukee, WI 53215-3600

Phone

(414) 384-8388

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Judy Malecki

Title

Manager

Phone

(414) 384-8388

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083759385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 S 27TH ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153600",
            "telephone_number": "414-384-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 S 27TH ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153600",
            "telephone_number": "414-384-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE SURGICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALECKI",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-384-8388"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "21339",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "19125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32885700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Neurosurgical Associates LLC
• Greater Heights Counseling
• Greater Milwaukee Critical Care and Pulmonary Associates SC
• Greater Milwaukee Health Services, S.C.
• Greater Milwaukee Medical Services
• Greatful Hearts Elderly Care LLC
• William Greaves, MD
• Kira R Grebe, APNP
• Paul John Grebe, M.D.
• Michael Crispin Grebner, M. D.

• Specialist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.