Kenosha Digestive Health Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KENOSHA DIGESTIVE HEALTH CENTER LLC

Practice address

8220 75TH St
Kenosha, WI 53142-7637

Phone

(414) 908-6500

Fax

(414) 908-6565

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Amy Jo Burns

Title

Director Revenue Cycle Management

Phone

(262) 970-7825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Kenosha Digestive Health CenterCCN 52C0001127

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea C Holyszko, CRNA

  • Certified Registered Nurse Anesthetist
  • Franklin, WI
  • NPI 1881179299
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1275178444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153689",
            "telephone_number": "414-908-6506",
            "fax_number": "414-908-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427637",
            "telephone_number": "414-908-6500",
            "fax_number": "414-908-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENOSHA DIGESTIVE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "262-970-7825"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenosha County Department of Human Services
• Kenosha County Div of Public Health
• Kenosha County Division of Health
• Kenosha County Scout Leaders Rescue Squad, Inc (Scout Leaders Rescue Squad, Inc)
• Kenosha Dentist LLC
• Kenosha Emergency Physicians, LLC
• Kenosha Family Dentistry
• Kenosha Family Practice, S.C.
• Kenosha Family Vision Care LLC (Regner Family Vision Clinic)
• Kenosha Hand & Plastic Surgery SC

• Ambulatory Surgical Clinic/Center in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.