Thomas John Shewczyk, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19364 Issued in WI

Practice address

4922 Columbia Road
Cedarburg, WI 53012

Phone

(262) 375-1580

Fax

(262) 375-9452

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas J Shewczyk MD SC

  dba homestead family health center

  • Primary Care Clinic/Center
  • Cedarburg, WI
  • NPI 1912277906
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013007046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 COLUMBIA ROAD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53012",
            "telephone_number": "262-375-1580",
            "fax_number": "262-375-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 COLUMBIA ROAD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53012",
            "telephone_number": "262-375-1580",
            "fax_number": "262-375-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWCZYK",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "19364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31156200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Schulz
• Robert H Schwengel, D.D.S.
• Margaret I Scottberg, PA
• Jeffrey Adam Sergent, D.C.
• Tracy Jean Sherman, C.O.T.A
• Thomas J Shiltz, LPC CADC III
• Kristin Michele Siehr, DPT
• Katelyn A Siekman, OTD, OTR/L
• Coral C. Slavin, PHD
• Megan Ann Smith

• Family Medicine Physician in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.