Solidaritus Health Wisconsin SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOLIDARITUS HEALTH WISCONSIN SC

Practice address

615 Pennsylvania Ave Ste 3
Sheboygan, WI 53081-4664

Phone

(920) 547-4210

Fax

(800) 671-5786

NPI assigned

May 10, 2024

Organization subpart

Yes

Parent organization

SOLIDARITUS HEALTH WISCONSIN SCAs reported in NPPES

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

Authorized official

Name

Lakeisha Flores

Title

Chief Operating Officer

Phone

(804) 304-6764

Specialties & licenses 1

Addresses

Other names 1

• Solidaritus Health Sheboygan Other name

Tax ID family

Solidaritus Health Wisconsin SC4 organizations share this tax ID, including this one

Part of

Solidaritus Health Wisconsin SC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Oconomowoc, WI
  • NPI 1104711605
  NPD tax ID
• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Altoona, WI
  • NPI 1790323608
  NPD tax ID
• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Muskego, WI
  • NPI 1982459582
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Altoona, WI
  • NPI 1790323608
  NPPES parent name

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1861240103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CONNECTICUT AVE NW STE 907",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365434",
            "telephone_number": "888-491-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PENNSYLVANIA AVE STE 3",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814664",
            "telephone_number": "920-547-4210",
            "fax_number": "800-671-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDARITUS HEALTH WISCONSIN SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLIDARITUS HEALTH WISCONSIN SC",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "804-304-6764"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solidaritus Health Sheboygan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Solidaritus Health Sheboygan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beth Sobczak III, PT
• Samuel K Soda, OD
• Ekaterina V Soforo, M.D.
• Raymond Seth Sohn, D.O
• Rana P Sokhi, MD
• Christina Somerville
• Carissa A Sommer, OTR/L
• Julie Sonnenberg, RN, BSN, MED
• Jade Nicole Sonsalla, OTR
• Abdelouahid Souala, MD

• Family Medicine Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.