Active NPI
Cari Ann Bollweg, D.O.
- Family Medicine Physician
- Sheboygan Falls, WI
National Provider Identifier
1922206903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53629
- Practice address
- 1112 Plankview Green Blvd
Sheboygan Falls, WI 53085-3393 - Phone
- (920) 234-3065
- Fax
- (978) 645-6864
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53629 | WI | Primary |
Addresses
Primary practice location
1112 Plankview Green Blvd
Sheboygan Falls, WI 53085-3393
Mailing address
1112 Plankview Green Blvd
Sheboygan Falls, WI 53085-3393
Phone (920) 234-3065
Other practice location 1
W2940 County Road Pp Ste 101
Sheboygan Falls, WI 53085-2528
Phone (920) 234-3065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everside Health, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- cari.bollweg.1@14940.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Caleb Bugg Paladina Health
- Family Medicine Physician
- Sheboygan Falls, WI
- NPI 1588109383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1922206903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 PLANKVIEW GREEN BLVD",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530853393",
"telephone_number": "920-234-3065",
"fax_number": "978-645-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 PLANKVIEW GREEN BLVD",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530853393",
"telephone_number": "920-234-3065",
"fax_number": "978-645-6864"
}
],
"practiceLocations": [
{
"address_1": "W2940 County Road Pp Ste 101",
"address_purpose": "LOCATION",
"city": "Sheboygan Falls",
"state": "WI",
"postal_code": "530852528",
"country_code": "US",
"telephone_number": "920-234-3065",
"fax_number": "978-645-6864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLLWEG",
"first_name": "CARI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "53629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.