GREAT LAKES NEUROSURGICAL ASSOCIATES LLC
NPI 1578743019
Neurological Surgery in Kenosha, WI
NPI Status: Active since November 13, 2007
- Organization
- Neurological Surgery
About GREAT LAKES NEUROSURGICAL ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Great Lakes Neurosurgical Associates Llc, a provider established in Kenosha, Wisconsin operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1578743019 assigned on November 2007. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Yashdip S Pannu M.d. (Owner)
- NPI
- 1578743019
- Provider Name
- GREAT LAKES NEUROSURGICAL ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 10400 75TH ST KENOSHA, WI 53142
- Location Phone
- (262) 948-7000
- Mailing Address
- PO BOX 241393 MILWAUKEE, WI 53224
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-13-2007
- Last Update Date
- 05-17-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000052140 | MEDICARE PIN (08) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 7 | 4 | 3 | 0 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 14 | 4 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 4 + 4 + 6 + 0 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1578743019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477546737 | MEA-AEA KENOSHA SC Organization | Emergency Medicine | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5640 |
| 1073595971 | QUENTIN R KASUBOSKI NP Individual | Nurse Practitioner | 10400 75TH ST AURORA MEDICAL CENTER KENOSHA, WI 53142 (262) 697-7000 |
| 1790769800 | EDWARD SHACKLEFORD DO Individual | Emergency Medicine | 10400 75TH ST AURORA MEDICAL CENTER KENOSHA, WI 53142 (262) 697-7000 |
| 1225015704 | THERESE MARIE WHITT MD Individual | Emergency Medicine | 10400 75TH ST AURORA MEDICAL CENTER KENOSHA, WI 53142 (262) 697-7000 |
| 1033170568 | MRS. SUSAN H. PERGANDE WHNP Individual | Nurse Practitioner (Women's Health) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-6714 |
| 1952310625 | MS. KATHY L BANDSTRA LCSW Individual | Social Worker (Clinical) | 10400 75TH ST #307 KENOSHA, WI 53142 (262) 948-6770 |
| 1720195639 | MS. ANITA L STELIGA APNP Individual | Nurse Practitioner | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5600 |
| 1346441524 | OTTIE BRUNO PT Individual | Physical Therapist | 10400 75TH ST KENOSHA, WI 53142 (262) 942-5600 |
| 1952562761 | ANDREA J BRACKMAN P.A. Individual | Physician Assistant | 10400 75TH ST KENOSHA, WI 53142 (262) 697-7000 |
| 1699917880 | KAREN MARIE FENSKE NNP, APNP Individual | Nurse Practitioner (Neonatal) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5200 |
| 1669776282 | DR. MATTHEW A NUCIFORO PT, DPT, OCS Individual | Physical Therapist | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7045 |
| 1851695290 | EDDIE DRAGOVOJA PTA Individual | Physical Therapy Assistant | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7045 |
| 1992009393 | MS. KIMBERLY JOANN WHALEN DPT Individual | Physical Therapist | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7045 |
| 1194004325 | MS. PATRICIA A. EDER SA-C Individual | Specialist/Technologist, Other (Surgical Assistant) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-6866 |
| 1932310661 | ELENA KORNIYCHUK M.D. Individual | Psychiatry & Neurology (Neurology) | 10400 75TH ST SUITE 315 KENOSHA, WI 53142 (262) 948-7815 |
| 1184978694 | NISHA K VERMANI NP Individual | Nurse Practitioner | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7000 |
| 1174869804 | MR. ANGELO JONES PHARMD Individual | Pharmacist | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5680 |
| 1760623110 | DR. AMY WOIKE D.O. Individual | Family Medicine | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7370 |
| 1649388802 | RODNEY J HALVORSEN M.D. Individual | Obstetrics & Gynecology (Gynecology) | 10400 75TH ST KENOSHA, WI 53142 (262) 948-7071 |
| 1396147625 | MRS. LOUISE A BORST RPH CGP Individual | Pharmacist | 10400 75TH ST KENOSHA, WI 53142 (262) 948-5680 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578743019, enumerated in the NPI registry as an "organization" on November 13, 2007
The provider is located at 10400 75th St Kenosha, Wi 53142 and the phone number is (262) 948-7000
This medical organization specializes in Neurological Surgery with taxonomy code 207T00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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