Active NPI
Alexander M Scharko, MD
- Psychiatry Physician
- Winnebago, WI
National Provider Identifier
1437102811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 38193
- Practice address
- 1300 South Drive
Winnebago, WI 54985 - Phone
- (920) 235-4910
- Fax
- (920) 237-2053
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD444647 | PA | |
| Psychiatry Physician | 2084P0800X | 38193 | WI | Primary |
| Psychiatry Physician | 2084P0800X | D0058020 | MD |
Addresses
Primary practice location
1300 South Drive
Winnebago, WI 54985
Mailing address
1300 South Drive
PO Box 9
Oshkosh, WI 54985
Phone (920) 235-4910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000018557R | Other | HUMANA | |
| 32489200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058020 | MD | MD | Psychiatry Physician |
| MD444647 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Milwaukee | Psychiatry | Past | Accepting new patients |
| Winnebag Mental Health Institute | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Milwaukee, WI
- NPI 1831256353
-
- Family Nurse Practitioner
- Oshkosh, WI
- NPI 1205728276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1437102811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SOUTH DRIVE",
"address_2": "PO BOX 9",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "54985",
"telephone_number": "920-235-4910",
"fax_number": "920-237-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SOUTH DRIVE",
"city": "WINNEBAGO",
"state": "WI",
"postal_code": "54985",
"telephone_number": "920-235-4910",
"fax_number": "920-237-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHARKO",
"first_name": "ALEXANDER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2023-06-30",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD444647",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "38193",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0058020",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000018557R",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32489200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winnebago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.