SHEBOYGAN PHYSICIANS GROUP, SC
NPI 1477819902
Internal Medicine in Sheboygan, WI

Q: What is Sheboygan Physicians Group, Sc's NPI number?

The NPI number for Sheboygan Physicians Group, Sc is 1477819902. It was assigned to this organization in the NPPES registry on April 10, 2012.

Q: What is Sheboygan Physicians Group, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 10, 2012CLIA 52D0914318 · Accreditation

2920 SUPERIOR AVE, SHEBOYGAN, WI 53081(920) 452-6000(920) 803-2990 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Sheboygan Physicians Group, Sc NPPES

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

SHEBOYGAN PHYSICIANS GROUP, SC (NPI 1477819902) is a healthcare organization registered as an internal medicine in Sheboygan, Wisconsin and active in the NPI registry since April 2012. The organization holds an CLIA Accreditation certificate valid through June 13, 2028, maintains a secondary practice location in Sheboygan, and lists Kelley Renzelmann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477819902

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSHEBOYGAN PHYSICIANS GROUP, SC

Location Address2920 SUPERIOR AVESheboygan, WI 53081-1944

Mailing Address2920 Superior AveSheboygan, WI 53081-1944 · (920) 452-6000 · Fax (920) 803-2990

Phone(920) 452-6000

Fax(920) 803-2990

Organization SubpartNo

Authorized OfficialKelley RenzelmannAdministrator · (920) 452-6000

Enumeration DateApril 10, 2012

Last NPPES UpdateOctober 11, 2022

NPPES CertifiedDecember 21, 2021

✔ NPI 1477819902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

2920 SUPERIOR AVE, Sheboygan, WI 53081

Open in Google Maps ↗

Secondary Practice Location 1

Location 11621 N Taylor DrSheboygan, WI 53081-1990 · Phone (920) 453-5432 · Fax (920) 452-3594

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 Accreditation 52D0914318

Sheboygan Physicians Group, Sc · Sheboygan, WI

Active · expires Jun 13, 2028

CLIA Number52D0914318

Laboratory TypePhysician Office

Certificate Effective DateJune 14, 2026

Certificate Expiration DateJune 13, 2028

Laboratory DirectorDr. Steven M. Bettag

Laboratory Phone(920) 458-7433

Laboratory LocationSheboygan Physicians Group, Sc1621 N Taylor Dr, Sheboygan, WI 53081

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

MRS. DORIS U THEUNE MS RN CS

Nurse Practitioner (Gerontology)