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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | RAILROAD MEDICARE | CH3854 | 01 |
WI | 32719000 | 05 |
Street Address |
1222 N 23RD ST |
City | SHEBOYGAN |
State | WI |
Zip Code | 53081-3171 |
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 |
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 | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
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 |
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 |
Please comment or provide details below to improve the information on SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD..
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.