Sherry L Prowatzke MD SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

31478 Issued in WI

Legal business name

SHERRY L PROWATZKE MD SC

Practice address

20611 Watertown Rd
Suite E
Waukesha, WI 53186-1871

Phone

(262) 798-1910

Fax

(262) 798-8660

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Sherry L Prowatzke, MD

Title

Medical Doctor

Phone

(262) 798-1910

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1952534497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20611 WATERTOWN RD",
            "address_2": "SUITE E",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861871",
            "telephone_number": "262-798-1910",
            "fax_number": "262-798-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20611 WATERTOWN RD",
            "address_2": "SUITE E",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861871",
            "telephone_number": "262-798-1910",
            "fax_number": "262-798-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY L PROWATZKE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "PROWATZKE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "262-798-1910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "31478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3161400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Terese Sheil, M.D.
• Kylie Rose Shelton, CCC-SLP
• Sirina Shepherd, MSW, LCSW
• Breanna Shepley
• Margo A Sherman, MD
• Lindsay Nicole Sherwood, LMFT
• Kaitlyn Sheskey, LPC
• Supriya K Shetty, DDS
• Zach Shiels, D.C.
• Nathaniel Y Shin

• Obstetrics & Gynecology Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.