Sheboygan Lung Specialists, SC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

36416 Issued in WI

Legal business name

SHEBOYGAN LUNG SPECIALISTS, SC

Practice address

1621 N Taylor Dr
Sheboygan, WI 53081-1990

Phone

(920) 458-5864

Fax

(920) 452-5864

NPI assigned

Feb 27, 2007

Last updated

Sep 11, 2025By 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

Mrs. Louann Meyer

Title

Administrator

Phone

(920) 458-8060

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Edmunds, APNP

  • Nurse Practitioner
  • Sheboygan, WI
  • NPI 1639482805
  NPD (past)
• Diane M Oppeneer, APNP

  • Nurse Practitioner
  • Manitowoc, WI
  • NPI 1831174143
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275660383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811990",
            "telephone_number": "920-458-5864",
            "fax_number": "920-452-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811990",
            "telephone_number": "920-458-5864",
            "fax_number": "920-452-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBOYGAN LUNG SPECIALISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "LOUANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-458-8060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "36416",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "36416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32101500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sheboygan Oral and Maxillofacial Assoc LTD
• Sheboygan Orthopaedic Associates SC

• Critical Care Medicine (Internal Medicine) Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Critical Care Medicine (Internal Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.