| St. Nicholas Hospital | |
|
3100 Superior Ave Sheboygan WI 53081-1994 | |
| (920) 459-5192 | |
| Not Available |
| Full Name | St. Nicholas Hospital |
|---|---|
| Speciality | Internal Medicine |
| Location | 3100 Superior Ave, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Patricia Allen (CFO) |
| Authorized Official Contact | 9208845660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Nicholas Hospital 3100 Superior Ave Sheboygan WI 53081-1994 Ph: (920) 459-5192 | St. Nicholas Hospital 3100 Superior Ave Sheboygan WI 53081-1994 Ph: (920) 459-5192 |
| NPI Number | 1447737762 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 12/27/2021 |
| Medicare PECOS PAC ID | 8325931652 |
|---|---|
| Medicare Enrollment ID | O20190321002397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447737762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37 (Wisconsin) | Primary |
| Provider Name | Ravindra Hanumaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740237775 PECOS PAC ID: 9537183355 Enrollment ID: I20060119000778 |
| Provider Name | Susan M Werchek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275857864 PECOS PAC ID: 8729117593 Enrollment ID: I20100603000976 |
| Provider Name | William Y Ansa Otu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
| Provider Name | David R Beck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326169822 PECOS PAC ID: 6406032457 Enrollment ID: I20110509000855 |
| Provider Name | Brittany R Burg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154780922 PECOS PAC ID: 6103123674 Enrollment ID: I20160328002153 |
| Provider Name | Varoon R Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20171002001834 |
| Provider Name | Kristin M Gardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366933608 PECOS PAC ID: 3779832902 Enrollment ID: I20180822000865 |
| Provider Name | Amanda Beinemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043694672 PECOS PAC ID: 0143535914 Enrollment ID: I20190406000000 |
| Provider Name | Christina M. Burch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619902392 PECOS PAC ID: 8921159898 Enrollment ID: I20190626004012 |
| Provider Name | Amy Jean Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962052118 PECOS PAC ID: 2365874963 Enrollment ID: I20191120002213 |
| Provider Name | Tamer Abdelhak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326100660 PECOS PAC ID: 8022019504 Enrollment ID: I20200724000045 |
| Provider Name | Andrew R Freedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598766743 PECOS PAC ID: 7911990460 Enrollment ID: I20200811001199 |
| Provider Name | Valeria Serban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306942933 PECOS PAC ID: 8426153974 Enrollment ID: I20201109003305 |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20201125000122 |
| Provider Name | Tariq Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20210303003067 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20210311001519 |
| Provider Name | Angelica T Hon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144892464 PECOS PAC ID: 5799189742 Enrollment ID: I20210812001983 |
| Provider Name | Abigail Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740953355 PECOS PAC ID: 6901202548 Enrollment ID: I20210908001510 |
| Provider Name | Kristin J Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932875002 PECOS PAC ID: 4587060918 Enrollment ID: I20210909001645 |
| Provider Name | Anand V Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003133315 PECOS PAC ID: 0244456036 Enrollment ID: I20220114000855 |
| Provider Name | Nimit Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770997108 PECOS PAC ID: 8426342171 Enrollment ID: I20220119000357 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20220321001036 |
| Provider Name | Yasir Yafai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205395381 PECOS PAC ID: 8224417357 Enrollment ID: I20220621002161 |
| Provider Name | Anda B Scorza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699068130 PECOS PAC ID: 3779873864 Enrollment ID: I20220627000595 |
| Provider Name | Sally Lynn Haen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093451155 PECOS PAC ID: 2769864750 Enrollment ID: I20220808002719 |
| Provider Name | Halley Borseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780317321 PECOS PAC ID: 8224408588 Enrollment ID: I20221230001667 |
| Provider Name | Tigist D Gemechu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20230228002071 |
| Provider Name | Ahmed U Otokiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760867204 PECOS PAC ID: 9537410824 Enrollment ID: I20230316001775 |
| Provider Name | Joshua Denk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174147987 PECOS PAC ID: 2466876040 Enrollment ID: I20230627002735 |
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 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S. 8th Street, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
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 |