John C Matteucci Jr MD Sc
Urology in Kenosha, WI. Organization (NPI-2).
NPI number1801080973
StatusActive
Last updated in NPPESAug 31, 2007
Details
- NPI
- 1801080973
- Entity type
- Organization (NPI-2)
- Legal business name
- John C Matteucci Jr MD Sc
- Organization subpart
- No
- Enumeration date
- Aug 31, 2007
- Last updated
- Aug 31, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
6127 Green Bay RoadSuite 600
Kenosha, WI 53142-2973
Phone 262-653-9221 · Fax 262-653-9229
Mailing address
6127 Green Bay RoadSuite 600
Kenosha, WI 53142-2973
Phone 262-653-9221 · Fax 262-653-9229
Authorized official
John C Matteucci
President
2626539221
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Other Urology Physician providers in Kenosha, WI
- Meredith Carter Clubb, M.D.NPI 1134150386
- Robert J Hartman, M.D.NPI 1730404385
- Kenosha Urology Clinic, S.C.NPI 1396831343
- Harry M Matschke, M.D.NPI 1629032115
- John C Matteucci, M.D.NPI 1558456749
- Ned R. Novsam, M.D.NPI 1760413900
All 7 Urology Physician providers in Kenosha · All 2,489 providers in Kenosha
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