In-Your-Home Medicine & Geriatrics

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

46666 Issued in WI

Legal business name

IN-YOUR-HOME MEDICINE & GERIATRICS

Practice address

3915 N Ridgefield Cir
Shorewood, WI 53211-2451

Phone

(414) 795-6480

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Douglas Antle, MD

Title

President

Phone

(414) 795-6480

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa Lauren Antle, APRN/BC/APNP

  • Gerontology Clinical Nurse Specialist
  • Shorewood, WI
  • NPI 1629260716
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831200781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11544",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532110544",
            "telephone_number": "414-795-6480",
            "fax_number": "414-906-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 N RIDGEFIELD CIR",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112451",
            "telephone_number": "414-795-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-YOUR-HOME MEDICINE & GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTLE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-795-6480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WI",
            "license": "46666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lee Hornby, MSW, CICSW
• Donna J. Horrigan, PT
• Ivaylo Hristov, LCSW
• Teresa M Humphrey, R.N.
• Shizuki Ide, PHARMACIST
• Shalaya Yvette Jackson
• Jeffery Jensen, OD
• Benjamin Singer Johnson, D.M.D.
• Jamey L Johnston, C.AC
• Daniel Jonas, D.MIN.

• Geriatric Medicine (Internal Medicine) Physician in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Geriatric Medicine (Internal Medicine) 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.