SHEBOYGAN PEDIATRIC ASSOCIATES SC (NPI# 1134285182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134285182 |
| Entity Type | Organization |
| Organization Name | SHEBOYGAN PEDIATRIC ASSOCIATES SC |
| Practice Address |
2920 Superior Avenue Sheboygan WI 53081 |
| Practice Telephone | 9204583331 |
| Practice Fax Number | 9204581387 |
| Mailing Telephone | 9204583331 |
| Mailing Fax Number | 9204581387 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM L TRAGER (PRESIDENT) |
| Authorized Official Telephone | 9204583331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
2920 SUPERIOR AVENUE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736965 | William L Trager | Pediatrics | 2920 Superior Avenue, Sheboygan, WI 53081 | 2006-05-13 |
| 1841361417 | Sheboygan Orthopaedic Associates Sc | Durable Medical Equipment & Medical Supplies | 2920 Superior Avenue, Sheboygan, WI 53081 | 2006-11-13 |
| 1508936642 | Sheboygan Orthopaedic Associates Sc | Durable Medical Equipment & Medical Supplies | 2920 Superior Avenue, Sheboygan, WI 53081 | 2006-11-08 |
| 1861443046 | Julie A Roehrborn | Pediatrics | 2920 Superior Avenue, Sheboygan, WI 53081 | 2006-05-13 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1790736965 | William L Trager | Pediatrics | 2920 Superior Avenue, Sheboygan, WI 53081 | 2006-05-13 |
| 1861873408 | Kathryn M Lilly | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2015-06-09 |
| 1265607337 | Amy J. Harms | Pediatrics | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2008-04-29 |
| 1972610178 | Rolf L Simonson | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-24 |
| 1588771109 | Walter T Howard | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1861509242 | Elise H Azuma Opel | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1881701183 | Steven J Pizer | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1801805551 | Jeffrey W Britton | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-05 |
| 1700895406 | Frank M Baur | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-05 |
| 1801847074 | Jenny K Brault | Pediatrics | 2920 Superior Ave, Sheboygan, WI 53081 | 2006-05-13 |
| 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.