SHEBOYGAN CANCER & BLOOD SPECIALISTS, SC (NPI# 1285789297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285789297 |
| Entity Type | Organization |
| Organization Name | SHEBOYGAN CANCER & BLOOD SPECIALISTS, SC |
| Practice Address |
1621 N Taylor Dr Sheboygan WI 53081-1990 |
| Practice Telephone | 9204587433 |
| Practice Fax Number | 9204523594 |
| Mailing Telephone | 9204587433 |
| Mailing Fax Number | 9204523594 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN MARK BETTAG (PRESIDENT) |
| Authorized Official Telephone | 9204587433 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| 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 |
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| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477819902 | Sheboygan Physicians Group, Sc | Internal Medicine | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2012-04-10 |
| 1669529608 | Steven Mark Bettag | Internal Medicine | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861750788 | Greg William Mccormack | Internal Medicine | 20911 Sunset Lndg, Frederic, WI 54837-9055 | 2012-04-28 |
| 1053447672 | James D Mcgovern | Internal Medicine | 3669 Point Ln, Green Bay, WI 54311-9766 | 2007-02-26 |
| 1467413591 | Francis J Cuevas | Internal Medicine | 7410 W Rawson Avenue, Franklin, WI 53132-8274 | 2006-03-29 |
| 1578530705 | Michael E Eastman | Internal Medicine | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2006-03-07 |
| 1972570224 | Paul J. Lemarbre | Internal Medicine | W359n7430 Brown St, Oconomowoc, WI 53066-1120 | 2006-03-07 |
| 1164403226 | Michael W Jones | Internal Medicine | 480 E Division St, Fond Du Lac, WI 54935-3734 | 2005-11-07 |
| 1649278870 | Shahid Shekhani | Internal Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2005-07-12 |
| 1982081436 | Ashanda Esdaille | Internal Medicine | 600 Highland Ave, Madison, WI 53792-2012 | 2015-05-05 |
| 1609276500 | Agnes Smaradottir | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2014-08-27 |
| 1265726970 | Brooke Dawn Nicole Esteves | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2011-05-31 |
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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.