Active NPI
Marsho Family Medical Group, SC
- Allergy & Immunology (Internal Medicine) Physician
- Sheboygan, WI
National Provider Identifier
1093771743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- Legal business name
- MARSHO FAMILY MEDICAL GROUP, SC
- Practice address
- 1703 N Taylor Dr
Sheboygan, WI 53081-1933 - Phone
- (920) 457-4438
- Fax
- (920) 451-3214
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris M Thompson
- Title
- Administrator
- Phone
- (920) 451-3240
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | Primary |
Addresses
Primary practice location
1703 N Taylor Dr
Sheboygan, WI 53081-1933
Mailing address
1703 N Taylor Dr
Sheboygan, WI 53081-1933
Phone (920) 451-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32662500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- De Pere, WI
- NPI 1134185945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1093771743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 N TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811933",
"telephone_number": "920-451-5700",
"fax_number": "920-451-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 N TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811933",
"telephone_number": "920-457-4438",
"fax_number": "920-451-3214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHO FAMILY MEDICAL GROUP, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "920-451-3240"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32662500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.