Goro Tsuchiya MD SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

16499 Issued in WI

Legal business name

GORO TSUCHIYA MD SC

Practice address

3535 30TH Avenue
Suite 205
Kenosha, WI 53144-1632

Phone

(262) 553-9700

Fax

(262) 553-9704

NPI assigned

Nov 22, 2006

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Goro Tsuchiya, MD

Title

President

Phone

(262) 553-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1326113309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVENUE",
            "address_2": "SUITE 205",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-553-9700",
            "fax_number": "262-553-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVENUE",
            "address_2": "SUITE 205",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-553-9700",
            "fax_number": "262-553-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORO TSUCHIYA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "TSUCHIYA",
        "authorized_official_first_name": "GORO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-553-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "16499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31174700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Gomez, PTA
• Angela Gonzales
• Cesar D Gonzalez, DDS
• Barbara Lynn Goode-Baars, LMT,CIMI
• Andrea Alexis Gordon, APNP
• Andrew E Gottheardt, OTR/L, CHT
• Karen Cole Gottschalk, PT
• Traci M Gotz, PT
• William Grady, OD
• Cheryl Graham

• Neurological Surgery Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Neurological Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.