Active NPI
Riesch Surgical Science LLC
- Surgery Physician
- Menomonee Falls, WI
National Provider Identifier
1356525992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 13376
- Legal business name
- RIESCH SURGICAL SCIENCE LLC
- Practice address
- W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518 - Phone
- (262) 257-2770
- Fax
- (262) 257-2772
- NPI assigned
- Dec 18, 2007
- 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. John D Riesch, MD
- Title
- Owner
- Phone
- (262) 257-2770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 13376 | WI | Primary |
Addresses
Primary practice location
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Mailing address
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 257-2770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31219200 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
25625 Network Pl
Chicago, IL 60673
N84W15787 Menomonee Ave
Ste 5
Menomonee Fls, WI 53051
Phone (262) 255-7850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1356525992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W180N8085 TOWN HALL RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513518",
"telephone_number": "262-257-2770",
"fax_number": "262-257-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W180N8085 TOWN HALL RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513518",
"telephone_number": "262-257-2770",
"fax_number": "262-257-2772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIESCH SURGICAL SCIENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "RIESCH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-257-2770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "WI",
"license": "13376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31219200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.