MEDICARE: CENTER FOR DIGESTIVE HEALTH LTD

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	490002600	OTHER	WI	RAILROAD MEDICARE GROUP N

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1028160001	OTHER	WI	AMERICHOICE UHC T-19
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750358453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR DIGESTIVE HEALTH LTD

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	:	414-908-6615
Fax Number	:	414-385-2980

Provider Business Practice Location Address
First Line	:	2801 W KINNICKINNIC RIVER PKWY STE 1060
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-5211
Country	:	US
Telephone Number	:	414-908-6500
Fax Number	:	414-908-6634

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

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	01/08/2025

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Directions to “CENTER FOR DIGESTIVE HEALTH LTD ” Practice Location

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