Organization Active NPI

Kenneth L. Schaufelberger, M.D., S.C.

  • Specialist
  • Appleton, WI
National Provider Identifier
1144570870
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Sep 10, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.