Gregory Q Schultz, LAT, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

2139-39 Issued in WI

Practice address

1531 S Madison St FL 4
Appleton, WI 54915-1800

Phone

(920) 840-0552

NPI assigned

Jan 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1942831086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N470 MAPLERIDGE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549158753",
            "telephone_number": "920-840-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S MADISON ST FL 4",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151800",
            "telephone_number": "920-840-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "GREGORY",
        "middle_name": "Q",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "WI",
            "license": "2139-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ATS",
            "affiliation": "N",
            "address_1": "1531 S Madison St Fl 4",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549151800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla L Schuh, APNP
• Pennie H Schuh, FNP-C
• Christine M. Schultz
• Deborah L Schultz, MD
• Emily L Schultz, LCSW
• Noel Evelyn Schultz, SAC
• Randall J Schultz, MD
• Rebecca Schultz
• Robert C Schulz, OD
• Ashley N Schumacher, APNP

• Sports Medicine (Emergency Medicine) Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Sports Medicine (Emergency Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.