Provider Demographics
NPI:1467459248
Name:CENSKY, JAMES A (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:CENSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16505 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-5513
Mailing Address - Country:US
Mailing Address - Phone:262-785-1366
Mailing Address - Fax:262-785-1383
Practice Address - Street 1:16505 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-5513
Practice Address - Country:US
Practice Address - Phone:262-785-1366
Practice Address - Fax:262-785-1383
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI36901207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32288200Medicaid
G24264Medicare UPIN
WI32288200Medicaid