Village of Shorewood Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

55133-030 Issued in WI

Legal business name

VILLAGE OF SHOREWOOD HEALTH DEPARTMENT

Practice address

2010 E Shorewood Blvd
Shorewood, WI 53211-2557

Phone

(414) 847-2710

Fax

(414) 847-2714

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia L. Tomasello, R.N.,BSN

Title

Health Officer

Phone

(414) 847-2710

Specialties & licenses 1

Addresses

Tax ID family

Shorewood Health Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shorewood Health Department

  • Public Health or Welfare Agency
  • Shorewood, WI
  • NPI 1811134232
  NPD tax ID

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174728471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 N MURRAY AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112303",
            "telephone_number": "414-847-2710",
            "fax_number": "414-847-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E SHOREWOOD BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112557",
            "telephone_number": "414-847-2710",
            "fax_number": "414-847-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SHOREWOOD HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMASELLO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "414-847-2710",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N.,BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": "55133-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinh Gia Truong, MD
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• Ryan Uribe
• Anika Vallejo, LPC
• Madison Vanden Boom
• Visionworks, Inc. (Visionworks)
• Visionworks, Inc. (Visionworks)
• Kasie Nicole Viste, SAC-IT
• Amy Louise Vuyk, M.S., CCC/SLP
• Walgreen Co (Walgreens #15188)

• Public Health or Welfare Agency in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.