Organization Active NPI

Thurow Primary Preventive Healthcare, SC

  • Public Health & General Preventive Medicine Physician
  • Thiensville, WI
National Provider Identifier
1417122995
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
96460-030 Issued in WI
Legal business name
THUROW PRIMARY PREVENTIVE HEALTHCARE, SC
Practice address
216 Green Bay Rd
Suite 101
Thiensville, WI 53092
Phone
(262) 242-3966
Fax
(262) 242-3993
NPI assigned
Apr 25, 2008
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THUROW PRIMARY PREVENTIVE HEALTHCARE, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Ms. Sharon Kaye Thurow, NPNPI 1215044326
Title
FNP, BC & President of Company
Phone
(262) 242-3966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 96460-030 WI Primary

Addresses

Primary practice location

216 Green Bay Rd
Suite 101
Thiensville, WI 53092

Mailing address

216 Green Bay Rd
Suite 101
Thiensville, WI 53092
Phone (262) 242-3966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080623000352 WI Part B Supplier - Clinic/Group Practice 9234200031 Receives reassigned benefits from 2 practitioners
Practice locations: Thiensville, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1087461Thurow Primary Preventive Healthcare SC216 N Green Bay Rd Ste 101, Mequon, WI 53092Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory
Part of
Thurow Primary Preventive Healthcare SC

Locations

216 Green Bay Rd
Ste 103
Thiensville, WI 53092
Phone (262) 242-3966

227 S Main St
Thiensville, WI 53092
Phone (262) 242-7383

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1417122995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "address_2": "SUITE 101",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-242-3966",
            "fax_number": "262-242-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "address_2": "SUITE 101",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-242-3966",
            "fax_number": "262-242-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUROW PRIMARY PREVENTIVE HEALTHCARE, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THUROW PRIMARY PREVENTIVE HEALTHCARE, SC",
        "enumeration_date": "2008-04-25",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "THUROW",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "FNP, BC & PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "262-242-3966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WI",
            "license": "96460-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.