GS Miceli DPM, SC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

524 Issued in WI

Legal business name

GS MICELI DPM, SC

Practice address

7201 Green Bay Rd
Suite a
Kenosha, WI 53142-3532

Phone

(262) 925-6565

Fax

(262) 697-4291

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Giuseppe S Miceli, D.P.M.

Title

Owner

Phone

(262) 925-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1154492668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580149",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531588011",
            "telephone_number": "262-925-6565",
            "fax_number": "262-697-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GREEN BAY RD",
            "address_2": "SUITE A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423532",
            "telephone_number": "262-925-6565",
            "fax_number": "262-697-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS MICELI DPM, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "GIUSEPPE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-925-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43208700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Linette Grosskurth, LICSW
• John Grossman, PHARMD
• Rebecca Anne Grove, BSN, RN
• Becky Grundy, PHYSICAL THERAPIST
• Bray Grundy, DPT
• Nancy Guadagno
• Guided Wellness Counseling
• Cassidy L Gull
• Jacqueline Gurney, APSW
• Catherine Gursky, D.O.

• Foot Surgery Podiatrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Foot Surgery Podiatrist in Wisconsin

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

Verify at the official NPI Registry.