DR. SCOTT M STILLWELL (NPI# 1134185945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134185945 |
| Entity Type | Individual |
| Full Name | DR. SCOTT M STILLWELL |
| Credential | M.D. |
| Practice Address |
1703 N Taylor Dr Sheboygan WI 53081-1933 |
| Mailing Address |
4425 N Port Washington Rd Attn: Clinic Credentialing Glendale WI 53212-1082 |
| Practice Telephone | 9204574438 |
| Practice Fax Number | 9204576748 |
| Mailing Telephone | 9204574438 |
| Mailing Fax Number | 9204576748 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27813-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31379700 | 05 |
| Street Address |
1703 N TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949796 | Noah T Slife | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2019-02-26 |
| 1801371505 | Kaley Dorion Meicher | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2018-09-27 |
| 1912426073 | Courtney Johnson | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2017-09-10 |
| 1750745162 | Xia Vang | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2016-04-12 |
| 1518307248 | Mitchell Dennis Hulbert | Podiatrist | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2013-06-26 |
| 1407198716 | Katelin A Krystowiak | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2013-03-25 |
| 1306199435 | Kate M Ratajczak | Nurse Practitioner | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2012-10-26 |
| 1760670772 | Melissa M Krause | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-10-04 |
| 1023217528 | Eric D Boehmer | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-07-13 |
| 1477608529 | Carmen Ruiz | Nurse Practitioner | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699932749 | Ronald Stanley Lizik | Family Medicine | N6249 N 61st St, Sheboygan, WI 53083-3356 | 2008-05-16 |
| 1174589998 | Patrick R Marsho | Family Medicine | 1703 N Taylor Drive, Sheboygan, WI 53081-1933 | 2006-04-21 |
| 1356863047 | Shehla Baig | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2017-07-13 |
| 1831622513 | Paj Ntaub Vang | Family Medicine | 1721 Saemann Ave, Sheboygan, WI 53081-2342 | 2017-04-10 |
| 1134579493 | Bora You | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2016-06-17 |
| 1750745162 | Xia Vang | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2016-04-12 |
| 1841687365 | Tina N Ozbeki | Family Medicine | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2015-04-22 |
| 1073920807 | Natasha Verma | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-07-14 |
| 1124434477 | Tae Ho Choi | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-07-08 |
| 1942615851 | Manju Kanikunnel | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-06-30 |
| Find all providers in SHEBOYGAN | ||||
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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.