Jerome R Sheff, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24620 Issued in WI

Practice address

390 Orbiting Dr
Mosinee, WI 54455-1763

Phone

(715) 693-9100

NPI assigned

Oct 7, 2005

Last updated

Oct 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1659369205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ORBITING DR",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551763",
            "telephone_number": "715-693-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFF",
        "first_name": "JEROME",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "24620",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "24620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30502900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Roth, PT
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• Susan M Schneider, MD
• Lori A Schutte, APNP
• Serene Care Solutions Inc.
• Shawn Patrick Sippl, D.C.
• Smiles on Main, LLC
• Brian Sorensen
• Sport & Spine Clinic LP
• David B Tange, MD

• Family Medicine Physician in Mosinee, WI
• Providers in Mosinee, 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 Oct 16, 2009; 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.