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Contact Information

GASTROENTEROLOGY SPECIALISTS SC
1111 DELAFIELD ST STE 321
WAUKESHA, WI53188-3407
 Phone: 414-454-0600
 Fax: 414-454-0971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY SPECIALISTS SC

NPI Number 1558443549
LBN Legal business name GASTROENTEROLOGY SPECIALISTS SC
Authorized official AMY BURNS - (DIRECTOR REVENUE MANAGEMENT CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 01/26/2026 - About 4 months ago
Identifiers
WI Medicaid 32879000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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