Active NPI
Kenneth L. Schaufelberger, M.D., S.C.
- Specialist
- Appleton, WI
National Provider Identifier
1144570870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KENNETH L. SCHAUFELBERGER, M.D., S.C.
- Practice address
- 2105 E Enterprise Ave
Appleton, WI 54913-7862 - Phone
- (920) 731-3311
- Fax
- (920) 731-7133
- NPI assigned
- Sep 10, 2012
- 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
- Dr. Kenneth L. Schaufelberger, M.D.
- Title
- President
- Phone
- (920) 731-3311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2105 E Enterprise Ave
Appleton, WI 54913-7862
Mailing address
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone (920) 731-3311
National Provider Directory
National Provider DirectoryLocations
102 Grand Season Dr Ste 6
Waupaca, WI 54981
Phone (715) 942-2553
102 Grand Season Dr Ste 6
Waupaca, WI 54981
Phone (715) 942-2553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1144570870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137862",
"telephone_number": "920-731-3311",
"fax_number": "920-731-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137862",
"telephone_number": "920-731-3311",
"fax_number": "920-731-7133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH L. SCHAUFELBERGER, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "SCHAUFELBERGER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-731-3311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.