Patricia K Dauphinee, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34214-020 Issued in WI

Practice address

118 E Division St
Shawano, WI 54166-2414

Phone

(262) 654-5555

Fax

(262) 654-9333

NPI assigned

Jul 14, 2006

Last updated

Jul 9, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326064528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541660456",
            "telephone_number": "262-654-5555",
            "fax_number": "262-654-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E DIVISION ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662414",
            "telephone_number": "262-654-5555",
            "fax_number": "262-654-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHINEE",
        "first_name": "PATRICIA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "34214-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31911200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Shawano (Maple Lane Health Care Center)
• County of Shawano (Shawano County DHS)
• County of Shawano (Shawano County Dept of Human Services-Lakeland Center Personal Care)
• Kimberly Rose Daniel, SLP
• Thaddeus Daniel
• Amy Jane Davids, FNP-C
• Erin Davids
• Deborah Peterman Counseling
• Shari Ann Delisle, MS, LAT
• Jessica Beth Delzer, MS

• Family Medicine Physician in Shawano, WI
• Providers in Shawano, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.