Active NPI
Aftab a Ansari, M.D., S.C.
- Orthopaedic Hand Surgery Physician
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 21598
- Legal business name
- AFTAB A ANSARI, M.D., S.C.
- Practice address
- 3535 30TH Ave
Suite 101B
Kenosha, WI 53144-1632 - Phone
- (262) 652-4878
- NPI assigned
- Dec 12, 2007
- Last updated
- Apr 20, 2008
- 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
- Dr. Aftab A Ansari, M.D., S.C.
- Title
- Owner
- Phone
- (262) 652-4878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 21598 | WI | Primary |
Addresses
Primary practice location
3535 30TH Ave
Suite 101B
Kenosha, WI 53144-1632
Mailing address
3535 30TH Ave
Suite 101B
Kenosha, WI 53144-1632
Phone (262) 652-4878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30186800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
3535 30th Ave
Ste 101B
Kenosha, WI 53144
Phone (262) 652-4878
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Kenosha, WI
- NPI 1124182068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1104009240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 30TH AVE",
"address_2": "SUITE 101B",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441632",
"telephone_number": "262-652-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 30TH AVE",
"address_2": "SUITE 101B",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441632",
"telephone_number": "262-652-4878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFTAB A ANSARI, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ANSARI",
"authorized_official_first_name": "AFTAB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-652-4878",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., S.C."
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WI",
"license": "21598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30186800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
- Advanced Foot and Ankle Center of Kenosha S.C.
- Advantage Physical Therapy & Sports Rehab, LLC (CORA Physical Therapy - Kenosha North)
- Advantage Physical Therapy & Sports Rehab, LLC (CORA Physical Therapy - Kenosha South)
- Advantage PT & Sports Rehab LLC (CORA Physical Therapy - Kenosha Midtown)
- Advent DME LLC
- John M Agaiby, MD
- Agape Home Care Inc. (Home Helpers)
- Marybell Aguilar
- Fuad Shihab Ahmad, APNP
- Imran Ahmed Moinuddin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.