Nelida N Sjak-Shie, PHD MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

63276 Issued in WI

Practice address

1818 N Meade St
Suite W120
Appleton, WI 54911-3454

Phone

(920) 735-7300

Fax

(920) 735-7333

NPI assigned

Oct 7, 2005

Last updated

Aug 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Arch Medical Services Inc

  dba The Center for Cancer Care and Research

  • Oncology Clinic/Center
  • Saint Louis, MO
  • NPI 1306856422
  NPD (past)
• Arch Medical Services, Inc.

  dba The Center for Cancer Care and Research

  • Oncology Clinic/Center
  • Washington, MO
  • NPI 1508995796

  Hematology & Oncology

  NPD (past)
• Mercy Clinic Adult Critical Care, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1730119421
  NPD (past)
• Mercy Support Services

  dba Mercy JFK Clinic

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1265572812
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• St. John's Mercy Support Services

  • Cardiovascular Disease Physician
  • Washington, MO
  • NPI 1912020397
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1174511703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6348 CTY RD JJ",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "address_2": "SUITE W120",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-735-7300",
            "fax_number": "920-735-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJAK-SHIE",
        "first_name": "NELIDA",
        "middle_name": "N",
        "credential": "PHD MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "63276",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2001031729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205706625",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sindhu Singh, MD
• Lauren Kathleen Singstock
• Hanna Rose Sippel, PA
• Lori A Sitek, PT
• SJ Community Collective, LLC
• Willow Renee Skar, PTA
• Katie L Skebba, LCSW
• Tyler B Skibba, D.C., C.C.E.P.
• Michele Danette Skoglund, RN
• Magdalena Skorupa, RDH

• Hematology & Oncology Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Hematology & Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.