Individual provider Active NPI

Thomas William Schueppert, MD

  • Orthopaedic Surgery Physician
  • Sturgeon Bay, WI
National Provider Identifier
1679694509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18225 Issued in WI
Practice address
3761 Bay Shore Dr
Sturgeon Bay, WI 54235-2361
Phone
(920) 743-4664
Fax
(920) 743-9764
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 18225 WI Primary

Addresses

Primary practice location

3761 Bay Shore Dr
Sturgeon Bay, WI 54235-2361

Mailing address

3761 Bay Shore Dr
Sturgeon Bay, WI 54235-2361
Phone (920) 743-4664

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

LicenseStateTypeSpecialty
18225WIMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679694509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 BAY SHORE DR",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352361",
            "telephone_number": "920-743-4664",
            "fax_number": "920-743-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 BAY SHORE DR",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352361",
            "telephone_number": "920-743-4664",
            "fax_number": "920-743-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUEPPERT",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "18225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.