SHEBOYGAN WOMEN'S HEALTH, S.C. (NPI# 1679655377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679655377 |
| Entity Type | Organization |
| Organization Name | SHEBOYGAN WOMEN'S HEALTH, S.C. |
| Practice Address |
1621 N Taylor Dr Ste 300 Sheboygan WI 53081-1992 |
| Practice Telephone | 9204584419 |
| Practice Fax Number | 9204587516 |
| Mailing Telephone | 9204584419 |
| Mailing Fax Number | 9204587516 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CLIFFORD GLENN MARTIN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9204584419 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 435890 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32882800 | 05 |
| Street Address |
1621 N TAYLOR DR STE 300 |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881788552 | Craig L Heins | Obstetrics & Gynecology | 1621 N Taylor Dr Ste 300, Sheboygan, WI 53081-1992 | 2006-10-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1881788552 | Craig L Heins | Obstetrics & Gynecology | 1621 N Taylor Dr Ste 300, Sheboygan, WI 53081-1992 | 2006-10-03 |
| 1679927826 | Mary J Kao | Obstetrics & Gynecology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2016-04-13 |
| 1275952848 | Alexandra C Glasscock | Obstetrics & Gynecology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-04-10 |
| 1407110547 | Radhika Sharma | Obstetrics & Gynecology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2012-07-03 |
| 1235493628 | Scott D Curtis | Obstetrics & Gynecology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2012-06-29 |
| 1447304423 | David P Dielentheis | Obstetrics & Gynecology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2007-01-23 |
| 1003992389 | Deann Leah Harper | Obstetrics & Gynecology | 2414 Kohler Memorial Dr, Department of Obstetrics and Gynecology, Sheboygan, WI 53081-3129 | 2006-10-28 |
| 1265544514 | Amy L Lysy | Obstetrics & Gynecology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2006-08-31 |
| 1043327398 | Thomas Ries | Obstetrics & Gynecology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-24 |
| 1255446423 | Dwight L Dyksterhouse | Obstetrics & Gynecology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-20 |
| 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.