Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720112030 Individual Practitioner Male Practitioner

Dr. Roger Thomas Pacanowski , MD

Surgery • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Dr. Roger Pacanowski, MD is a registered healthcare professional specializing in Surgery in Kenosha, WI. Practice services are available at 6308 8TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6308 8th Ave

Kenosha, WI 531435031

Telephone 2626568217
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Kenosha, WI (765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 16095

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License
16095 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gina Gambucci , MS, LAT, ATC, OTC

Specialist/Technologist - Athletic Trainer

NPI 1003357823

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer, OTC

Dr. Hanna Mariani , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1013206556

Doctor of Medicine (M.D.)

Dr. Raymond Knight , MD

Internal Medicine - Hematology & Oncology

NPI 1013963792

Doctor of Medicine (M.D.)

Jimaleen Delabio

General Acute Care Hospital

NPI 1023148137
Dr. Mark Vytlacil , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1033272174

Doctor of Medicine (M.D.)

Dr. Michael Zeihen , MD

Internal Medicine

NPI 1043266992

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6308 8TH AVE, KENOSHA, WI 531435031 (Tel: 2626568217)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7600 2ND AVE, KENOSHA, WI 531436067 (Tel: 2626525370)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER PACANOWSKI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #16095 in WI)

🟢
Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720112030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

7600 2nd Ave

Kenosha, WI 531436067

Phone: 2626525370

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.