EDWIN BARCLAY SHULTZ (NPI# 1316045099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316045099 |
| Entity Type | Individual |
| Full Name | EDWIN BARCLAY SHULTZ |
| Credential | M.D. |
| Practice Address |
112 Helen St Sauk City WI 53583-1101 |
| Practice Telephone | 6086433351 |
| Practice Fax Number | 6086433621 |
| Mailing Telephone | 6086433351 |
| Mailing Fax Number | 6086433621 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27416 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30699000 | 05 |
| Street Address |
112 HELEN ST |
| City | SAUK CITY |
| State | WI |
| Zip Code | 53583-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457334468 | Angela M Oconnor | Pediatrics | 112 Helen St, Sauk City, WI 53583-1168 | 2005-11-23 |
| 1316553720 | Katherine Packwood | Nurse Practitioner | 112 Helen St, Sauk City, WI 53583-1101 | 2020-09-21 |
| 1821554411 | Maureen Ann Schlager | Registered Nurse | 112 Helen St, Sauk City, WI 53583-1168 | 2019-02-19 |
| 1467976357 | Kym A Pharo | Nurse Practitioner | 112 Helen St, Sauk City, WI 53583-1101 | 2017-08-01 |
| 1124542329 | Kayla Lauren Moses | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2017-07-28 |
| 1780035527 | Lauren Marsicek | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2016-06-23 |
| 1245631514 | David Graf | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-09-05 |
| 1215349196 | Prairie Clinic, Sc | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-05-27 |
| 1730528654 | Renee L Schutte | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2013-06-25 |
| 1891138004 | Mary Elizabeth Bacsik-campbell | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2013-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912109794 | Patricia L Lohr | Nurse Practitioner | 9437 Cty Rd Y, Sauk City, WI 53583 | 2007-06-04 |
| 1508947185 | Sauk City Pharmacy Inc | Pharmacy | 830 Water St, Sauk City, WI 53583 | 2006-10-18 |
| 1578519336 | Mindy Shafer Weigel | Recreation Therapist | 560 Pathway Clinic, Prairie Du Sac, WI 53583 | 2006-05-25 |
| 1235187444 | Kilian Chiropractic Sc | Chiropractor | 515 Phillips Blvd, Sauk City, WI 53583 | 2006-05-04 |
| 1821081936 | Maplewood of Sauk Prairie | Pharmacy | 245 Sycamore Steet, Sauk City, WI 53583 | 2005-08-24 |
| 1063418747 | Nursing Homes Inc. | Skilled Nursing Facility | 245 Sycamore St, Sauk City, WI 53583-1013 | 2005-06-27 |
| 1588218317 | Carl Hatfield | Physical Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-07-30 |
| 1073175113 | Sarah Olson | Speech-Language Pathologist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-06-28 |
| 1629531496 | Carl Oliver | Occupational Therapist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-04-09 |
| 1922565878 | Marisa Burke | Occupational Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-02-27 |
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| 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 |
|---|---|---|---|---|
| 1134447550 | Jessica M. Darling | Family Medicine | 112 Helen St., Sauk City, WI 53583-1101 | 2010-05-10 |
| 1891138004 | Mary Elizabeth Bacsik-campbell | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2013-04-08 |
| 1992986897 | David Scott Adams | Family Medicine | 112 Helen St, Sauk City, WI 53583-1168 | 2007-11-19 |
| 1245338979 | John J Koch | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-09-20 |
| 1568560209 | John A Mcauliffe | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-09-20 |
| 1932207685 | Steven J Johnson | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-09-20 |
| 1093813750 | Matthew P Grade | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-09-20 |
| 1144328840 | Timothy L Bartholow | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-09-20 |
| 1477651180 | Thomas J Varley | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-09-20 |
| 1093813602 | Maribeth H Baker | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-09-20 |
| Find all providers in SAUK CITY | ||||
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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.