ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS (NPI# 1275799413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275799413 |
| Entity Type | Organization |
| Organization Name | ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS |
| Other Organization Name | PREVEA SHEBOYGAN HEALTH CENTER |
| Practice Address |
1621 N Taylor Dr Sheboygan WI 53081-1990 |
| Mailing Address |
Po Box 19059 Green Bay WI 54307-9059 |
| Practice Telephone | 9204584419 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | MR. ANDREW J BAGNALL (PRESIDENT & CEO) |
| Authorized Official Telephone | 9204584419 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | WI | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
WI | Allopathic & Osteopathic Physicians | |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
WI | Allopathic & Osteopathic Physicians | |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21327400 | 05 |
| Other Name | Type Code |
|---|---|
| Prevea Sheboygan Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194048256 | St. Nicholas Hospital of The Hospital Sisters of St Francis | Clinical Medical Laboratory | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2010-03-03 |
| 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 |
| 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 |
| 1326220823 | Hospice and Palliative Care Consultants | Internal Medicine | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2007-11-27 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1508974502 | Mansoor H. Mirza | Internal Medicine | 2414 Kohler Memorial Drive, Sheboygan, WI 53081-3129 | 2006-08-29 |
| 1447737762 | St Nicholas Hospital-sisters of The Third Order of St Francis | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1994 | 2018-07-20 |
| 1831552256 | Matthew Hemsing | Internal Medicine | 2920 Superior Ave, Sheboygan, WI 53081 | 2016-04-02 |
| 1174901615 | Adeel Pervez | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083 | 2015-05-17 |
| 1497149116 | Wasif Bajwa | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2015-03-19 |
| 1063816031 | Muniba Chohan | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-10-20 |
| 1033525837 | Sree Ramya Punukollu | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2014-07-01 |
| 1285049221 | Reenaben Patel | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2014-06-28 |
| 1669887675 | Anushka Baruah | Internal Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-06-27 |
| 1508121286 | Harpreet Kaur | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2012-07-09 |
| 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.