Sheboygan Women'S Health, S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

435890 Issued in WI

Legal business name

SHEBOYGAN WOMEN'S HEALTH, S.C.

Practice address

1621 N Taylor Dr Ste 300
Sheboygan, WI 53081-1992

Phone

(920) 458-4419

Fax

(920) 458-7516

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Glenn Martin, M.D.

Title

President/Owner

Phone

(920) 458-4419

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard A Chase, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1801918974
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679655377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR STE 300",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811992",
            "telephone_number": "920-458-4419",
            "fax_number": "920-458-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR STE 300",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811992",
            "telephone_number": "920-458-4419",
            "fax_number": "920-458-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBOYGAN WOMEN'S HEALTH, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "920-458-4419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "435890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32882800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheboygan Senior Community, Inc.
• Sheboygan Senior Living, Inc.
• Sheboygan SNF Operations LLC
• Sheboygan Surgical Associates, S.C.
• Sheboygan Urology Specialists, S.C.
• Sheboyganctd LLC
• Carol Sherman Haid, MA, LCPC, BCPC
• Vincent C Sherman
• Lauren Kathryn Shikoski
• Jennifer Shipley, MS CCC-SLP

• Obstetrics & Gynecology Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Obstetrics & Gynecology 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.