MEDICARE: RACINE DIGESTIVE HEALTH CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1659903292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RACINE DIGESTIVE HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	2801 W KINNICKINNIC RIVER PKWY STE 1080
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-3689
Country	:	US
Telephone Number	:	414-908-6506
Fax Number	:	414-908-6510

Provider Business Practice Location Address
First Line	:	10340 WASHINGTON AVE STE 100
Second Line	:
City	:	STURTEVANT
State	:	WI
Zip	:	53177-1607
Country	:	US
Telephone Number	:	414-908-6500
Fax Number	:	414-908-6565

Authorized Official
Title or Position	:	DIRECTOR REVENUE CYCLE MANAGEMENT
Name	:	AMY JO BURNS
Credential	:
Telephone Number	:	262-970-7825

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	01/08/2025

Similar Medicare Providers

1669422093 — DR. JANICE A LITZA MD
Practice Location Address:

10340 WASHINGTON AVE
STURTEVANT, WI
53177-1607

Practice Phone: 262-687-7500
Practice Fax: 262-687-7501

1477660926 — DR. SHARLEEN LEONARD MD
Practice Location Address:

10340 WASHINGTON AVE
STURTEVANT, WI
53177-1607

Practice Phone: 262-687-7500
Practice Fax: 262-687-7501

1457984007 — DAVID HECTOR BENAVIDES OTR
Practice Location Address:

10340 WASHINGTON AVE
STURTEVANT, WI
53177-1607

Practice Phone: 262-687-7500
Practice Fax:

1841287893 — DR. CARLTON L DONOWA DDS
Practice Location Address:

3011 90TH ST
STURTEVANT, WI
53177-2714

Practice Phone: 262-656-0764
Practice Fax: 262-656-1833

1629065404 — AHMAD ZIA KHAN M.D.
Practice Location Address:

8700 DURAND AVE STE 600
STURTEVANT, WI
53177-2096

Practice Phone: 262-635-5520
Practice Fax: 262-635-5530

1063409852 — DAVID L NICHOLS PHD
Practice Location Address:

8700 DURAND AVE STE 600
STURTEVANT, WI
53177-2096

Practice Phone: 262-635-5520
Practice Fax: 262-635-5530

Directions to “RACINE DIGESTIVE HEALTH CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.