Organization Active NPI

Jean H. Schott, M.D., S.C.

  • Ophthalmology Physician
  • Sheboygan, WI
National Provider Identifier
1457654261
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24256 Issued in WI
Legal business name
JEAN H. SCHOTT, M.D., S.C.
Practice address
2209 S Memorial PL
Sheboygan, WI 53081-3715
Phone
(920) 459-8811
Fax
(920) 459-9871
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Jean H Schott
Title
Owner
Phone
(920) 946-4906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 24256 WI Primary

Addresses

Primary practice location

2209 S Memorial PL
Sheboygan, WI 53081-3715

Mailing address

5505 Curtiss Dr
Sheboygan, WI 53081-8718
Phone (920) 946-4906

Other identifiers 1

IdentifierTypeStateIssuer
30427600MedicaidWI

National Provider Directory

National Provider Directory

Locations

2209 S Memorial Pl
Sheboygan, WI 53081
Phone (414) 459-8811

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1457654261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 CURTISS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530818718",
            "telephone_number": "920-946-4906",
            "fax_number": "920-457-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S MEMORIAL PL",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813715",
            "telephone_number": "920-459-8811",
            "fax_number": "920-459-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN H. SCHOTT, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "SCHOTT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-946-4906",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "24256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30427600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.