SHEBOYGAN LUNG SPECIALISTS, SC (NPI# 1275660383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275660383 |
| Entity Type | Organization |
| Organization Name | SHEBOYGAN LUNG SPECIALISTS, SC |
| Practice Address |
1621 N Taylor Dr Sheboygan WI 53081-1990 |
| Practice Telephone | 9204585864 |
| Practice Fax Number | 9204525864 |
| Mailing Telephone | 9204585864 |
| Mailing Fax Number | 9204525864 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LOUANN MEYER (ADMINISTRATOR) |
| Authorized Official Telephone | 9204588060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
36416 | WI | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
36416 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32101500 | 05 |
| Street Address |
1621 N TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761403 | Katharine A Donohue | Nurse Practitioner | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2005-09-27 |
| 1568862324 | Anne Clarke | Nurse Practitioner | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2014-08-29 |
| 1942628623 | Stacy Miller | Nurse Practitioner | 1621 N Taylor Dr, Suite 100, Sheboygan, WI 53081-1990 | 2014-03-31 |
| 1467740126 | Donna Mayer | Nurse Practitioner | 1621 N Taylor Dr, #300, Sheboygan, WI 53081-1990 | 2011-07-15 |
| 1114215886 | Laura Alsteen | Nurse Practitioner | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2011-07-15 |
| 1972804854 | David Beimborn | Physical Therapist | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2010-11-09 |
| 1083927412 | Mary Lou Roethel | Nurse Practitioner | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2010-07-14 |
| 1275799413 | St. Nicholas Hospital of The Hospital Sisters of St Francis | Hospitalist | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-08-06 |
| 1528232576 | Marla Z Wolfert | Internal Medicine | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-04-21 |
| 1265604839 | Dawn C. Baarendse | Nurse Practitioner | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-03-24 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992643 | Philip M. Detrana | Internal Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326381559 | Nestor Anguiano | Internal Medicine | Prohealth Care Medical Associates, 721 American Ave, Waukesha, WI 53188-5071 | 2013-04-06 |
| 1093948895 | Ricardo Sanga | Internal Medicine | 106 W Seeboth St Unit 1101, Milwaukee, WI 53204-4331 | 2009-08-26 |
| 1003075573 | Marvin Lyle Birnbaum | Internal Medicine | 3330 University Ave, Suite 300, Madison, WI 53705-2167 | 2008-06-09 |
| 1164608964 | Toks E Macarthy | Internal Medicine | 1701 West Lincoln Avenue, West Allis, WI 53227 | 2008-01-11 |
| 1821143108 | Santo De Jesus Diaz | Internal Medicine | 4925 S 43rd St, Greenfield, WI 53220-4809 | 2007-01-24 |
| 1366506016 | Fox Valley Pulmonary Medicine, S.c. | Internal Medicine | 2500 E Capitol Dr Suite 1700, Appleton, WI 54911 | 2006-12-20 |
| 1811001720 | Tasleem Raza | Internal Medicine | Clement J Zablocki Veterans Affairs Medical Ctr, 5000 W. National Avenue, Milwaukee, WI 53295-0001 | 2006-08-18 |
| 1063461606 | Mark S Lingenfelter | Internal Medicine | 306 W Main St Apt 909, Madison, WI 53703 | 2006-05-10 |
| 1740241793 | Raed A Hamed | Internal Medicine | 8500 W Capitol Dr, Suite 202b, Milwaukee, WI 53222-1869 | 2006-03-30 |
| 1114993151 | John G Mccartney | Internal Medicine | 801 Braxton Pl, Madison, WI 53715-1415 | 2006-02-28 |
| Find all providers with the same taxonomy | ||||
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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.