Plymouth Family Physicians, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

597162 Issued in WI

Legal business name

PLYMOUTH FAMILY PHYSICIANS, S.C.

Practice address

1000 Eastern Ave
Plymouth, WI 53073-1921

Phone

(920) 893-0526

Fax

(920) 893-8068

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Judy Klein

Title

Office Manager

Phone

(920) 893-0526

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548372964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731921",
            "telephone_number": "920-893-0526",
            "fax_number": "920-893-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731921",
            "telephone_number": "920-893-0526",
            "fax_number": "920-893-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH FAMILY PHYSICIANS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-893-0526"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "597162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32707400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra J Perronne, OT
• Scott R Peschke, MD
• Plymouth Ambulance Service, Inc (Plymouth Ambulance Service)
• Plymouth Care Center LLC (D/B/a Atrium Post Acute Care of Plymouth)
• Plymouth Chiropractic, SC
• Plymouth Joint School District
• Ashlyn Prisinger, PT
• Dawn H.S. Reinemann, PHD
• Jennifer Ann-Gabrys Rench, MD
• Dona Ann Richardson, ATC

• Family Medicine Physician in Plymouth, WI
• Providers in Plymouth, 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 Aug 22, 2020; 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.