| Lakeshore Community Health Care, Inc | |
|
510 S. 8th Street Sheboygan WI 53081-4404 | |
| (920) 783-6633 | |
| (920) 783-6392 |
| Full Name | Lakeshore Community Health Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 S. 8th Street, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Michele M Schmitt (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9207836633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Community Health Care, Inc P.o. Box 959 Sheboygan WI 53082-0959 Ph: (920) 783-6633 | Lakeshore Community Health Care, Inc 510 S. 8th Street Sheboygan WI 53081-4404 Ph: (920) 783-6633 |
| NPI Number | 1245520519 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 10/03/2014 |
| Medicare PECOS PAC ID | 3173773124 |
|---|---|
| Medicare Enrollment ID | O20130605000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245520519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Basil P Spyropoulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649209594 PECOS PAC ID: 0648259739 Enrollment ID: I20050103000012 |
| Provider Name | Barbara J Gonzales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841307170 PECOS PAC ID: 0648291385 Enrollment ID: I20051209000458 |
| Provider Name | Diane M Oppeneer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831174143 PECOS PAC ID: 0648282186 Enrollment ID: I20060626000309 |
| Provider Name | Robert D Wenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841307808 PECOS PAC ID: 8628109501 Enrollment ID: I20100622000652 |
| Provider Name | Dwight L Dyksterhouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255446423 PECOS PAC ID: 4688866452 Enrollment ID: I20101012000692 |
| Provider Name | Shmuel Mandelbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942221601 PECOS PAC ID: 2062542111 Enrollment ID: I20110307001012 |
| Provider Name | Wyatt W Tyler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427347830 PECOS PAC ID: 7517131121 Enrollment ID: I20111116000928 |
| Provider Name | Linda M Bremberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073939039 PECOS PAC ID: 8224251046 Enrollment ID: I20140523001970 |
| Provider Name | Sarah Reveal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487037859 PECOS PAC ID: 5395050165 Enrollment ID: I20150824000718 |
| Provider Name | Donna Z Buechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114317419 PECOS PAC ID: 4082924345 Enrollment ID: I20160301002427 |
| Provider Name | Lorijean M Mettetal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336491430 PECOS PAC ID: 9133418957 Enrollment ID: I20160518001574 |
| Provider Name | Amber M Golembeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669928495 PECOS PAC ID: 9032405246 Enrollment ID: I20160913002952 |
| Provider Name | Karen S Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316073836 PECOS PAC ID: 4981834447 Enrollment ID: I20161220001597 |
| Provider Name | Brian C Dewey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801131370 PECOS PAC ID: 8426370529 Enrollment ID: I20170414000029 |
| Provider Name | Teresa A Klavekoske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447795083 PECOS PAC ID: 5799043899 Enrollment ID: I20171219001813 |
| Provider Name | Angela Meg Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619476256 PECOS PAC ID: 2668735812 Enrollment ID: I20180420002141 |
| Provider Name | John J Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017424 PECOS PAC ID: 8527390236 Enrollment ID: I20191030001734 |
| Provider Name | Paj Ntaub Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831622513 PECOS PAC ID: 1850723792 Enrollment ID: I20201021002652 |
| Provider Name | Shelby L Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134858665 PECOS PAC ID: 0840672580 Enrollment ID: I20220728000063 |
| Provider Name | Kayla M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134745037 PECOS PAC ID: 6800268335 Enrollment ID: I20230210000221 |
| Provider Name | Kialeah Sumpter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588084123 PECOS PAC ID: 9830554609 Enrollment ID: I20230501000198 |
| Provider Name | Jessica Mattia-barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588940951 PECOS PAC ID: 7012361884 Enrollment ID: I20230927002416 |
| Provider Name | Kristen A Wlodek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609156488 PECOS PAC ID: 4688017361 Enrollment ID: I20240209001271 |
| Provider Name | Frank W Simac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265881908 PECOS PAC ID: 2567805054 Enrollment ID: I20240212003919 |
| Provider Name | Brooke K Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518542307 PECOS PAC ID: 4688018385 Enrollment ID: I20240221002926 |
| Provider Name | David M Ohrmund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700363157 PECOS PAC ID: 0840635280 Enrollment ID: I20240226001869 |
| Provider Name | Kayla M Ostermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538413752 PECOS PAC ID: 3375988108 Enrollment ID: I20240301003269 |
| Provider Name | Sarah J Apfelbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255843785 PECOS PAC ID: 8820433675 Enrollment ID: I20240301003665 |
| Provider Name | Rachael Sass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861007098 PECOS PAC ID: 2567815541 Enrollment ID: I20240311001840 |
| Provider Name | Mai Kou Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760261689 PECOS PAC ID: 7618316324 Enrollment ID: I20240415001391 |
Marsho Family Medical Group, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-451-3214 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 Saemann Avenue, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Sheboygan Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Aurora Health Care Central, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 | |
Prevea Sheboygan Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1621 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-458-4419 | |
Prevea Sheboygan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-803-1598 |