GLSD Medical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GLSD MEDICAL LLC

Practice address

8153 S 27TH St
Suite 500
Franklin, WI 53132-9549

Phone

(414) 761-1802

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Douglas Milosavljevic, MDNPI 1831173822

Title

Owner

Phone

(414) 761-1802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Ambulatory surgical center certification: CCN 52C0001112

Legal name

GLSD MEDICAL LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 4, 2015

Last certification

Jan 30, 2018

Ownership / control type

Proprietary

Facility address

8153 S 27TH St, Suite 500
Franklin, WI 53132

Locations

Practitioners 3

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

• Douglas Milosavljevic, M.D.

  • Interventional Pain Medicine Physician
  • Franklin, WI
  • NPI 1831173822
  Medicare reassignment NPD Authorized official
• Amanda Lyne Bartels, APNP

  • Nurse Practitioner
  • Franklin, WI
  • NPI 1376228981
  NPD (past)
• Patricia M Jones Cooper, NP

  • Family Nurse Practitioner
  • Glendale, WI
  • NPI 1558527200
  NPD (past)

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1548679046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S EXECUTIVE DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8153 S 27TH ST",
            "address_2": "SUITE 500",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329549",
            "telephone_number": "414-761-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLSD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "MILOSAVLJEVIC",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-761-1802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Marie Giacalone, MS/CCC-SLP
• Daniel D Gilman, D.O.
• Justin Giunta
• Glander Family Chiropractic, LLC
• Janell Meyer Glembocki, A.S.
• Heather Gnadt, LPN
• Joshua Goad, PHARMD
• Patricia F Golden, D.O.
• Heather Golla
• Christina Marie Golner, MD

• Ambulatory Surgical Clinic/Center in Franklin, WI
• Providers in Franklin, 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 Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.