Solidaritus Health Wisconsin SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOLIDARITUS HEALTH WISCONSIN SC

Practice address

915 Summit Ave
Oconomowoc, WI 53066-3921

Phone

(414) 348-8970

NPI assigned

Jun 12, 2025

Organization subpart

Yes

Parent organization

SOLIDARITUS HEALTH WISCONSIN SCAs reported in NPPES

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

Authorized official

Name

Georgia Jaquette Smith

Title

Practice Manager

Phone

(715) 461-0463

Specialties & licenses 1

Addresses

Other names 1

• Solidaritus Health Oconomowoc Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Solidaritus Health Wisconsin SC4 organizations share this tax ID, including this one

Part of

Solidaritus Health Wisconsin SC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Altoona, WI
  • NPI 1790323608
  NPD tax ID
• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Sheboygan, WI
  • NPI 1861240103
  NPD tax ID
• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Muskego, WI
  • NPI 1982459582
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Altoona, WI
  • NPI 1790323608
  NPPES parent name

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1104711605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CONNECTICUT AVE NW STE 907",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365434",
            "telephone_number": "888-491-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663921",
            "telephone_number": "414-348-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDARITUS HEALTH WISCONSIN SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLIDARITUS HEALTH WISCONSIN SC",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "JAQUETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "715-461-0463"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solidaritus Health Oconomowoc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane Ruth Smith, NP
• Franklin L Smith, MD
• Rachel Smith, LPC-IT
• Megan Sobotik
• Louis John Soefker Jr., RPH
• South Street Clinic LLC
• Mark S Spankowski, OD
• Speechworks LLC
• Carrey Spencer, RDH
• Samantha Sporleder, OTA

• Family Medicine Physician in Oconomowoc, WI
• Providers in Oconomowoc, 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 Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.