Internal Medicine & Pediatrics, S.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

INTERNAL MEDICINE & PEDIATRICS, S.C.

Practice address

500 McMillen St
Fort Atkinson, WI 53538-1233

Phone

(920) 563-7711

Fax

(920) 563-7705

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Theresanne Johnson

Title

Office Manager

Phone

(920) 563-7711

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770558066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381233",
            "telephone_number": "920-563-7711",
            "fax_number": "920-563-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381233",
            "telephone_number": "920-563-7711",
            "fax_number": "920-563-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & PEDIATRICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THERESANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-563-7711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Huppert
• Iconicare Fort Atkinson, LLC (Reena Senior Living)
• Im Fine Counseling Services LLC
• Paul Robert Incha, PT
• Insight Counseling Services
• Susan K Ipsen, APNP
• Toni Isaacsen, MS, CCC-SLP
• Milan Jelic, CRNA
• Heidi J Jennrich, APNP
• Lisa A Jensen, R.N.

• Pediatrics Physician in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.