Healthcare Provider Details

I. General information

NPI: 1518744986
Provider Name (Legal Business Name): SAAK, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18200 W CAPITOL DR STE 200
BROOKFIELD WI
53045-1446
US

IV. Provider business mailing address

18200 W CAPITOL DR STE 200
BROOKFIELD WI
53045-1446
US

V. Phone/Fax

Practice location:
  • Phone: 262-444-5148
  • Fax: 262-444-5457
Mailing address:
  • Phone: 262-444-5148
  • Fax: 262-444-5457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA JAMES
Title or Position: MANAGER OF OPERATIONS
Credential:
Phone: 262-444-5148