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MARK W NIEDFELDT, MD, LLC
NPI 1174764906
Family Medicine in Mequon, WI

Active since March 06, 2009
10556 N PORT WASHINGTON RD, STE 101, MEQUON, WI 53092(262) 643-4720(262) 643-4721 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark W Niedfeldt, Md, Llc NPPES

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

MARK W NIEDFELDT, MD, LLC (NPI 1174764906) is a healthcare organization registered as a family medicine in Mequon, Wisconsin and active in the NPI registry since March 2009. The organization lists Mark W Niedfeldt, Owner, as its authorized official.

NPPES Registry Identity

NPI1174764906
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARK W NIEDFELDT, MD, LLC
Location Address10556 N PORT WASHINGTON RD, STE 101Mequon, WI 53092-5586
Mailing Address10556 N Port Washington Rd, Suite 101Mequon, WI 53092-5586 · (262) 643-4720 · Fax (262) 643-4721
Phone(262) 643-4720
Fax(262) 643-4721
Organization SubpartNo
Authorized OfficialMark W NiedfeldtOwner · (262) 643-4720
Enumeration DateMarch 6, 2009
✔ NPI 1174764906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 35201
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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 35201 (WI)
10556 N PORT WASHINGTON RD, Mequon, WI 53092
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LUKE LAGA
Acupuncturist
10556 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (608) 347-3965

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 Mark W Niedfeldt, MD, LLC's NPI number?

The NPI number for Mark W Niedfeldt, MD, LLC is 1174764906. It was assigned to this organization in the NPPES registry on March 6, 2009.

Where is Mark W Niedfeldt, MD, LLC located?

Mark W Niedfeldt, MD, LLC is located at 10556 N Port Washington Rd Ste 101, Mequon, WI 53092. The listed phone number is (262) 643-4720.

What is Mark W Niedfeldt, MD, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark W Niedfeldt, MD, LLC was last updated on March 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.