Shoreline Skin Specialists, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

23885-020 Issued in WI

Legal business name

SHORELINE SKIN SPECIALISTS, S.C.

Practice address

1414 N Taylor Dr
Suite 144
Sheboygan, WI 53081-1988

Phone

(920) 457-3376

Fax

(920) 458-6510

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Aloys Louis Tauscheck Jr., M.D., J.D.NPI 1497769855

Title

President

Phone

(920) 457-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Aloys Louis Tauscheck Jr., M.D.,J.D.

  • Dermatology Physician
  • Sheboygan, WI
  • NPI 1497769855
  Medicare reassignment NPD Authorized official
• Colleen M Gumm, APNP

  • Adult Health Nurse Practitioner
  • Sheboygan, WI
  • NPI 1750603114
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1730193152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR",
            "address_2": "SUITE 144",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811988",
            "telephone_number": "920-457-3376",
            "fax_number": "920-458-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR",
            "address_2": "SUITE 144",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811988",
            "telephone_number": "920-457-3376",
            "fax_number": "920-458-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE SKIN SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "TAUSCHECK",
        "authorized_official_first_name": "ALOYS",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-457-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., J.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WI",
            "license": "23885-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Sholten, FIRST ASSIST
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Shoptikal LLC
• Shoreline Periodontics Limited
• William M Shows, D.M.D.,M.S.
• Ashley Sidlauskas, PTA
• Kenneth Siebels, OTR/L
• Stephanie Siegert, D.C.
• Frank William Simac, MS, LPC, CSAC

• Dermatology Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.