Jandali Surgical Associates, S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34339 Issued in WI

Legal business name

JANDALI SURGICAL ASSOCIATES, S.C.

Practice address

9555 76TH St Ste 4880
Pleasant Prairie, WI 53158-1984

Phone

(262) 748-1001

Fax

(262) 748-1020

NPI assigned

Feb 14, 2007

Last updated

Oct 17, 2022By 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

Majed Jandali, M.D.NPI 1679635171

Title

Owner/Medical Doctor

Phone

(262) 748-1001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGJBBD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Majed Jandali, MD

  • Surgery Physician
  • Pleasant Prairie, WI
  • NPI 1679635171
  Medicare reassignment Care Compare group NPD Authorized official
• Mustafa Syed Badrudduja, MD

  • Surgery Physician
  • Kenosha, WI
  • NPI 1083744486
  Medicare reassignment Care Compare group NPD
• Wendy S Davis, PA-C

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1558391904
  NPD (past)
• Lillian Kerchinsky, PA

  • Physician Assistant
  • Pleasant Prairie, WI
  • NPI 1609730100
  NPD (past)
• Christopher A Nervi, MD

  • Surgery Physician
  • Fond Du Lac, WI
  • NPI 1144382656
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1528101433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 76TH ST STE 4880",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581984",
            "telephone_number": "262-748-1001",
            "fax_number": "262-748-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 76TH ST STE 4880",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581984",
            "telephone_number": "262-748-1001",
            "fax_number": "262-748-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANDALI SURGICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "JANDALI",
        "authorized_official_first_name": "MAJED",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "262-748-1001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "34339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihc-Kenosha Radiology, LLC
• Ihc-Wound Care Services LLC
• Michael H. Jacker, M.D.
• Brittany Wanda Jake, PTA
• Laronda James, NURSE PRACTITIONER
• Majed Jandali, MD
• Kylie Jansky
• Tomasz M Jarzembowski, MD
• Ashley Marie Jelinek, PHARMD
• William J Jeranek, MD

• Surgery Physician in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.