NPIMap

Organization Active NPI

Thomas J Shewczyk MD SC

Doing business as homestead family health center

  • Primary Care Clinic/Center
  • Cedarburg, WI
National Provider Identifier
1912277906
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
19364 Issued in WI
Legal business name
THOMAS J SHEWCZYK MD SC
Doing business as
homestead family health center
Practice address
4922 Columbia Rd
Suite 100
Cedarburg, WI 53012-9188
Phone
(262) 375-1580
Fax
(262) 375-9452
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Thomas John Shewczyk, M.D.NPI 1013007046
Title
Owner
Phone
(262) 375-1580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 19364 WI Primary

Addresses

Primary practice location

4922 Columbia Rd
Suite 100
Cedarburg, WI 53012-9188

Mailing address

4922 Columbia Rd
Suite 100
Cedarburg, WI 53012-9188
Phone (262) 375-1580

Other names 1

  • homestead family health center Doing business as

National Provider Directory

National Provider Directory

Locations

4922 Columbia Rd
Ste 100
Cedarburg, WI 53012
Phone (262) 375-1580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1912277906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 COLUMBIA RD",
            "address_2": "SUITE 100",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129188",
            "telephone_number": "262-375-1580",
            "fax_number": "262-375-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 COLUMBIA RD",
            "address_2": "SUITE 100",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129188",
            "telephone_number": "262-375-1580",
            "fax_number": "262-375-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J SHEWCZYK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "SHEWCZYK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-375-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "19364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "homestead family health center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.