SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD.


Address: 1222 N 23rd St, Sheboygan, WI 53081-3171
Phone: 9204576800

SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD. (NPI# 1730170283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730170283
Entity Type Organization
Organization Name SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD.
Practice Address 1222 N 23rd St
Sheboygan
WI 53081-3171
Mailing Address Po Box 1127
Sheboygan
WI 53082-1127
Practice Telephone 9204576800
Practice Fax Number 9204576824
Mailing Telephone 9204576750
Mailing Fax Number 9204578350
Enumeration Date 2005-11-03
Last Update Date 2008-04-20
Authorized Official Name DONNA LARUE (OFFICE MANAGER)
Authorized Official Telephone 9204576750
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0203X Radiology
Specialization: Therapeutic Radiology
Allopathic & Osteopathic Physicians
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI RAILROAD MEDICARE CH3854 01
WI 32719000 05

Office Location

Street Address 1222 N 23RD ST
City SHEBOYGAN
State WI
Zip Code 53081-3171

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710326889 Kun Xiao Internal Medicine 1222 N 23rd St, Sheboygan, WI 53081-3171 2013-06-21
1366722118 Sarah S Fritz Nurse Practitioner 1222 N 23rd St, Sheboygan, WI 53081-3171 2011-08-25
1356520506 Shannon Offerman Radiology 1222 N 23rd St, Sheboygan, WI 53081-3171 2007-10-24
1497953335 Aurora Medical Group, Inc. Durable Medical Equipment & Medical Supplies 1222 N 23rd St, Sheboygan, WI 53081-3171 2007-07-03
1649387911 Cheruppolil R Santhosh-kumar Internal Medicine 1222 N 23rd St, Sheboygan, WI 53081-3171 2006-08-24
1730296336 Max Haid Internal Medicine 1222 N 23rd St, Sheboygan, WI 53081-3171 2006-08-23
1972584324 Nancy A Mclaughlin Nurse Practitioner 1222 N 23rd St, Sheboygan, WI 53081-3171 2005-11-10

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356520506 Shannon Offerman Radiology 1222 N 23rd St, Sheboygan, WI 53081-3171 2007-10-24
1407834112 Kiernan J Minehan Radiology 3100 Superior Ave, Sheboygan, WI 53081-1948 2006-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922652510 Sangjune Lee Radiology 710 Ridge St Apt 207, Madison, WI 53705-3641 2019-07-31
1225456981 John Martin Floberg Radiology 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 2014-03-31
1669815569 Joshua Knute Elson Radiology 6811 118th Ave, Kenosha, WI 53142 2013-04-10
1154651727 Matthew Edward Witek Radiology 309 W Johnson St Apt 714, Madison, WI 53703-3553 2010-01-05
1558598441 Eva Christensen Radiology 11516 N Port Washington Rd, Mequon, WI 53092-3441 2009-06-17
1265687024 Marcia Js Richards Radiology 675 Park Cir, Elm Grove, WI 53122-2556 2008-11-20
1891888269 Michael E Ray Radiology 900 E Grant, Appleton, WI 54911-3487 2006-09-30
1093759185 Editha A Krueger Radiology 424 E Wisconsin Ave, Appleton, WI 54911-4860 2006-06-16
1336187251 Laura B Ulmer Radiology 3809 Spring St, Racine, WI 53405-1667 2006-06-03
1558318782 Linda Gemer Radiology 1277 Hickory Hill Dr, Green Bay, WI 54304-2363 2006-05-31
Find all providers with the same taxonomy

Competitor

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City SHEBOYGAN
Zip Code 53081

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Dataset Information

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.

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