1. Home
  2. Directory
  3. Wisconsin
  4. Oconomowoc
  5. Family Medicine
  6. NPI Profile

SOLIDARITUS HEALTH WISCONSIN SC
NPI 1104711605
Family Medicine in Oconomowoc, WI

Active since June 12, 2025CLIA 52D2325043 · Waiver
915 SUMMIT AVE, OCONOMOWOC, WI 53066(414) 348-8970 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Solidaritus Health Wisconsin Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOLIDARITUS HEALTH WISCONSIN SC (NPI 1104711605) is a healthcare organization registered as a family medicine in Oconomowoc, Wisconsin and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Georgia Jaquette Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1104711605
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOLIDARITUS HEALTH WISCONSIN SC
Location Address915 SUMMIT AVEOconomowoc, WI 53066-3921
Mailing Address1025 Connecticut Ave Nw Ste 907Washington, DC 20036-5434 · (888) 491-2951
Phone(414) 348-8970
Organization SubpartYes
Authorized OfficialGeorgia Jaquette SmithPractice Manager · (715) 461-0463
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1104711605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
915 SUMMIT AVE, Oconomowoc, WI 53066
Open in Google Maps ↗

Other Names 1

Other NameSolidaritus Health Oconomowoc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2325043

Solidaritus Health Wisconsin Sc · Oconomowoc, WI
Active · expires Jun 4, 2027
CLIA Number52D2325043
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorGeorgia J. Smith
Laboratory Phone(715) 461-0463
Laboratory LocationSolidaritus Health Wisconsin Sc915 Summit Avenue, Oconomowoc, WI 53066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN SOBOTIK
Occupational Therapist
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 560-1115
DR. MICHELLE M MIELKE MD
Pediatrics
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2300
CARRIE A NARKIS MD
Internal Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2279
DR. FRANKLIN L SMITH MD
Urology
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2274
DR. JOHN W MURPHY MD
Internal Medicine
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2300
AURORA MEDICAL GROUP, INC.
Eyewear Supplier
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2228
DR. MARK R WESSLING MD
Pediatrics
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2300
MS. PATRICIA R KELLEY RN
Registered Nurse
915 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-2275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Solidaritus Health Wisconsin Sc's NPI number?

The NPI number for Solidaritus Health Wisconsin Sc is 1104711605. It was assigned to this organization in the NPPES registry on June 12, 2025. The provider is also known as Solidaritus Health Oconomowoc.

Where is Solidaritus Health Wisconsin Sc located?

Solidaritus Health Wisconsin Sc is located at 915 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (414) 348-8970.

What is Solidaritus Health Wisconsin Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Solidaritus Health Wisconsin Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2325043) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Solidaritus Health Wisconsin Sc was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.