EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
NPI 1457317463
Internal Medicine - Gastroenterology in Sheboygan, WI

Active since April 26, 2006
1414 N TAYLOR DR STE 144, SHEBOYGAN, WI 53081(920) 457-4400(920) 457-4422 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastern Wisconsin Colonoscopy & Gastroenterology, Sc NPPES

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

EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC (NPI 1457317463) is a healthcare organization registered as a gastroenterology in Sheboygan, Wisconsin and active in the NPI registry since April 2006. The organization lists David L Haller, President, as its authorized official.

NPPES Registry Identity

NPI1457317463
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameEASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
Location Address1414 N TAYLOR DR STE 144Sheboygan, WI 53081-1988
Mailing Address1414 N Taylor Dr Ste 144Sheboygan, WI 53081-1988 · (920) 457-4400 · Fax (920) 457-4422
Fax(920) 457-4422
Organization SubpartNo
Authorized OfficialDavid L HallerPresident · (920) 457-4400
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 24, 2010
NPI 1457317463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1414 N TAYLOR DR STE 144, Sheboygan, WI 53081

Other Identifiers 1

Medicare ID-Type Unspecified60095WI

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

Other Providers at the Same Location NPPES

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

Internal Medicine (Gastroenterology)
1414 N TAYLOR DR STE 144
SHEBOYGAN, WI 53081

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 Eastern Wisconsin Colonoscopy & Gastroenterology, Sc's NPI number?

The NPI number for Eastern Wisconsin Colonoscopy & Gastroenterology, Sc is 1457317463. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Eastern Wisconsin Colonoscopy & Gastroenterology, Sc located?

Eastern Wisconsin Colonoscopy & Gastroenterology, Sc is located at 1414 N Taylor Dr Ste 144, Sheboygan, WI 53081. The listed phone number is (920) 457-4400.

What is Eastern Wisconsin Colonoscopy & Gastroenterology, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Eastern Wisconsin Colonoscopy & Gastroenterology, Sc was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.