MICHAEL A SCHELLPFEFFER MD OB GYN SC (NPI# 1578625794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578625794 |
| Entity Type | Organization |
| Organization Name | MICHAEL A SCHELLPFEFFER MD OB GYN SC |
| Practice Address |
1400 75th Street Kenosha WI 53143 |
| Mailing Address |
1400 75th St Suite #1 Kenosha WI 53143 |
| Practice Telephone | 2626582133 |
| Practice Fax Number | 2626582699 |
| Mailing Telephone | 2626582133 |
| Mailing Fax Number | 2626582699 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL A SCHELLPFEFFER (PHYSICIAN OWNER) |
| Authorized Official Telephone | 2626582133 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25699020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CIGNA | 3411471180002 | 01 |
| WI | HUMANA | 164210535932 | 01 |
| WI | MICHIGAN BC | 71G2000W15143 | 01 |
| WI | 30599600 | 05 | |
| WI | AETNA | 0004016521 | 01 |
| WI | BC COMPCARE | 398443880006 | 01 |
| Street Address |
1400 75TH STREET |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| 1871566257 | Terry W Huff Dds Sc | Clinic/Center | 6402 Sheridan Rd, Kenosha, WI 53143 | 2006-02-08 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700056744 | Maximilian W Hecht | Obstetrics & Gynecology | 10400 75th St Ste 205, Kenosha, WI 53142-7884 | 2008-03-05 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1558312207 | Estil Strawn | Obstetrics & Gynecology | 6815 118th Ave, Kenosha, WI 53142-8420 | 2006-05-15 |
| 1952714222 | Mariam G Hanna | Obstetrics & Gynecology | 10400 75th St, Kenosha, WI 53142-7884 | 2014-06-04 |
| 1790121663 | Ashley Mcsorley | Obstetrics & Gynecology | 10400 75th St Ste 205, Kenosha, WI 53142-7884 | 2013-05-17 |
| 1427328590 | Dr Adilakshmi Kaza Md LLC | Obstetrics & Gynecology | 6127 Green Bay Rd, Suite 200a, Kenosha, WI 53142-2946 | 2012-01-06 |
| 1558661991 | Junith M. Thompson, M.d., S.c. | Obstetrics & Gynecology | 6530 Sheridan Road, Suite 9, Kenosha, WI 53143-5063 | 2010-11-02 |
| 1497065080 | Kristin Jones | Obstetrics & Gynecology | 10400 75th St, Kenosha, WI 53142-7884 | 2010-10-15 |
| 1447437819 | Womens Wellness | Obstetrics & Gynecology | 9916 75th St, Suite 200, Kenosha, WI 53142-7583 | 2008-01-28 |
| 1417177783 | Diana M Saitis | Obstetrics & Gynecology | 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | 2007-04-27 |
| Find all providers in KENOSHA | ||||
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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.