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SHEBOYGAN MEDICAL CENTER, LLC
NPI 1366487241
Clinic/Center - Ambulatory Surgical in Sheboygan, WI

Active since June 17, 2006
2124 KOHLER MEMORIAL DR, STE 100, SHEBOYGAN, WI 53081(920) 452-7246(920) 452-7388 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheboygan Medical Center, Llc NPPES

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

SHEBOYGAN MEDICAL CENTER, LLC (NPI 1366487241) is a healthcare organization registered as an ambulatory surgical in Sheboygan, Wisconsin and active in the NPI registry since June 2006. The organization lists Vishal Lal, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1366487241
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSHEBOYGAN MEDICAL CENTER, LLC
Location Address2124 KOHLER MEMORIAL DR, STE 100Sheboygan, WI 53081
Mailing Address4131 W Loomis Rd, Ste 800Greenfield, WI 53221 · (414) 325-7246 · Fax (414) 325-3770
Phone(920) 452-7246
Fax(920) 452-7388
Organization SubpartNo
Authorized OfficialVishal LalExecutive Administrator · (414) 325-7246
Enumeration DateJune 17, 2006
Last NPPES UpdateOctober 24, 2016
✔ NPI 1366487241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2124 KOHLER MEMORIAL DR, Sheboygan, WI 53081
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Other Identifiers 1

Medicaid41914800WI

Other Providers at the Same Location NPPES 6

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

BRANT MICHAEL BALTHAZOR MS, PA-C
Physician Assistant
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (883) 821-7246
ADVANCED PAIN MANAGEMENT
Specialist
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (414) 325-3713
KRISTIN MARIE BALTHAZOR PA-C, MPAS
Physician Assistant
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (833) 821-7246
ADVANCED PAIN MANAGEMENT SC
Durable Medical Equipment & Medical Supplies
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (414) 325-7246
SHEBOYGAN MEDICAL CENTER, LLC
Durable Medical Equipment & Medical Supplies
2124 KOHLER MEMORIAL DR, SUITE 100
SHEBOYGAN, WI 53081
Sheboygan County (414) 325-7246
SPINE SOLUTIONS OF SHEBOYGAN LLC
Clinic/Center (Ambulatory Surgical)
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (414) 455-1153

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 Sheboygan Medical Center, LLC's NPI number?

The NPI number for Sheboygan Medical Center, LLC is 1366487241. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Sheboygan Medical Center, LLC located?

Sheboygan Medical Center, LLC is located at 2124 Kohler Memorial Dr Ste 100, Sheboygan, WI 53081. The listed phone number is (920) 452-7246.

What is Sheboygan Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Sheboygan Medical Center, LLC was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.