THOMAS J. SHEEDY (NPI# 1053383695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053383695 |
| Entity Type | Individual |
| Full Name | THOMAS J. SHEEDY |
| Credential | M.D. |
| Practice Address |
2130 Big Bend Rd Prohealth Care Medical Associates Inc. Waukesha WI 53189-7624 |
| Practice Telephone | 2629287555 |
| Practice Fax Number | 2625137575 |
| Mailing Telephone | 2629287555 |
| Mailing Fax Number | 2625137575 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
37781 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32237100 | 05 |
| Street Address |
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC. |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346237625 | William F Lutz | Internal Medicine | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2005-10-03 |
| 1124647029 | Sherry Joanne Meurer | Physical Therapist | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2020-04-10 |
| 1225666399 | Prohealth Care Inc | Physical Therapist | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2020-04-01 |
| 1265909949 | Jonathan R Mueller | Nurse Practitioner | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2018-10-31 |
| 1437544574 | Kathryn B Hughes | Family Medicine | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2015-04-06 |
| 1780919423 | Margo A Sherman | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Associates Inc, Waukesha, WI 53189-7624 | 2009-10-14 |
| 1497989545 | Lauren Marika Flewelen | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Associates Inc., Waukesha, WI 53189-7624 | 2009-05-04 |
| 1245497510 | Mukesh Kumar | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Assoicates Inc, Waukesha, WI 53189-7624 | 2008-05-22 |
| 1952593725 | Anne Marie Frea | Family Medicine | 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2007-08-15 |
| 1083815690 | Kathleen A Brass | Family Medicine | 2130 Big Bend Rd, Prohealth Care Medical Associates, Waukesha, WI 53189-7624 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619918992 | Sarah P. Hansen | Pediatrics | 1111 Delafield Street, Suite 115, Waukesha, WI 53188 | 2006-06-09 |
| 1780659193 | Elizabeth A. Horneffer | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-02-20 |
| 1972578383 | Amy C. Attwell | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-02-20 |
| 1689649097 | Julia A. Ostendorf | Pediatrics | 1111 Delafield St, Suyite 115, Waukesha, WI 53188-3417 | 2006-02-20 |
| 1770558199 | Deborah J. Petersen | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-02-20 |
| 1093789950 | Kathryn D. Iorio | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-02-15 |
| 1508830498 | Matthew R. Biebel | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-02-15 |
| 1639143522 | Jerrold M. Deutsch | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801154000 | Kathryn E Gannon-loew | Pediatrics | 540 N 16th St, Milwaukee, WI 53233-2160 | 2012-04-25 |
| 1922392067 | Mary Guillot | Pediatrics | 999 N 92nd St Ste 460, Wauwatosa, WI 53226 | 2011-06-07 |
| 1144555178 | Katsumi Neeno | Pediatrics | 2341 Tradition Ln, Janesville, WI 53545-0723 | 2009-10-08 |
| 1588857841 | Leah W Mcavoy | Pediatrics | 5471 W Waterford Ln Ste B, Appleton, WI 54913-8510 | 2007-08-21 |
| 1518165380 | Syed N Hasnain | Pediatrics | 1971 W Capitol Dr, Milwaukee, WI 53206-1909 | 2007-07-03 |
| 1629292206 | Thomas Henry Kowalski | Pediatrics | 3872 S Lake Dr Unit 404, Milwaukee, WI 53235-5236 | 2007-04-13 |
| 1912929803 | Mary L. Ganz | Pediatrics | 1290 Betsy Ross Ct, Brookfield, WI 53045-5362 | 2006-07-23 |
| 1164463261 | Pradeep Gopi Kumar | Pediatrics | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2006-06-09 |
| 1649221482 | Mary Susan Jay | Pediatrics | 8915 W Connell Ave, Milwaukee, WI 53226-3067 | 2006-05-15 |
| 1962478040 | Peter S Karofsky | Pediatrics | 2711 Allen Blvd, Middleton Teen Clinic, Middleton, WI 53562 | 2006-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.