Suresh R Naikmd SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20553 Issued in WI

Legal business name

SURESH R NAIKMD SC

Practice address

3535 30TH Avenue
#207 Suresh R Naik MD SC
Kenosha, WI 53144

Phone

(262) 658-1618

Fax

(262) 654-4562

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suresh R Naik, MD SC

Title

Physician

Phone

(262) 658-1618

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194923045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVENUE",
            "address_2": "SUITE #207",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53144",
            "telephone_number": "262-658-1618",
            "fax_number": "262-654-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVENUE",
            "address_2": "#207 SURESH R NAIK MD SC",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53144",
            "telephone_number": "262-658-1618",
            "fax_number": "262-654-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH R NAIKMD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "262-658-1618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD SC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "20553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31103000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Sundareson, M.D.
• Paul Jiyoung Sung, DDS
• Sunstone Assisted Living LLC
• Superior Health and Wellness of Gurnee, LTD
• Suresh R Naik MD SC
• Surgical Associates of Kenosha S. C.
• Surgical Associates of Kenosha, SC
• Mikayla Rose Surprenant
• Surya Medical Group SC
• Susan M. Cable, DDS, SC

• Internal Medicine Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Internal Medicine Physician 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.