NPIMap

Organization Active NPI

Greater Milwaukee Surgical Assistants

  • Surgical Physician Assistant
  • West Allis, WI
National Provider Identifier
1861752842
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3321 Issued in WI
Legal business name
GREATER MILWAUKEE SURGICAL ASSISTANTS
Practice address
2931 S 108TH St
West Allis, WI 53227-3519
Phone
(414) 791-8480
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Darren Rosser, CSA, SA-CNPI 1346577954
Title
Co-Owner
Phone
(414) 791-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X 3321 WI Primary

Addresses

Primary practice location

2931 S 108TH St
West Allis, WI 53227-3519

Mailing address

2931 S 108TH St
West Allis, WI 53227-3519
Phone (414) 791-8480

National Provider Directory

National Provider Directory

Locations

2931 S 108th St
West Allis, WI 53227
Phone (414) 608-2475

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1861752842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273519",
            "telephone_number": "414-791-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273519",
            "telephone_number": "414-791-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "ROSSER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "414-791-8480",
        "authorized_official_credential": "CSA, SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.