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FAITHFUL PHYSICIAN SERVICES
NPI 1467817320
Family Medicine in Pewaukee, WI

Active since December 20, 2015
1109 CECELIA DRIVE, PEWAUKEE, WI 53072(262) 373-6733(262) 373-6018 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2018, Dec 26, 2015, Dec 20, 2015 (3 updates tracked since 2015).

About Faithful Physician Services NPPES

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

FAITHFUL PHYSICIAN SERVICES (NPI 1467817320) is a healthcare organization registered as a family medicine in Pewaukee, Wisconsin and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Pewaukee and lists Steven Mather Kotsonis, Owner, as its authorized official.

NPPES Registry Identity

NPI1467817320
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAITHFUL PHYSICIAN SERVICES LLC
Location Address1109 CECELIA DRIVEPewaukee, WI 53072-2524
Mailing Address12420 W Hampton Ave #89Butler, WI 53007-0089 · (262) 373-6733 · Fax (262) 373-6018
Phone(262) 373-6733
Fax(262) 373-6018
Organization SubpartNo
Authorized OfficialSteven Mather KotsonisOwner · (262) 373-6733
Enumeration DateDecember 20, 2015
Last NPPES UpdateJune 27, 20183 updates tracked since enumeration
✔ NPI 1467817320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 53437-20
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.

1109 CECELIA DRIVE, Pewaukee, WI 53072
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Other Names 1

Doing Business AsFaithful Physician Services

Secondary Practice Location 1

Location 1347 Park AvePewaukee, WI 53072-3413 · Phone (262) 373-6733 · Fax (262) 373-6018

Other Identifiers 1

Medicaid100031662WI

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

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 Faithful Physician Services LLC's NPI number?

The NPI number for Faithful Physician Services LLC is 1467817320. It was assigned to this organization in the NPPES registry on December 20, 2015. The provider is doing business as Faithful Physician Services.

Where is Faithful Physician Services LLC located?

Faithful Physician Services LLC is located at 1109 Cecelia Drive, Pewaukee, WI 53072. The listed phone number is (262) 373-6733.

What is Faithful Physician Services 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 Faithful Physician Services LLC was last updated on June 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.