1. Home
  2. Directory
  3. Wisconsin
  4. Shorewood
  5. Family Medicine
  6. NPI Profile

SHOREWOOD FAMILY PHYSICIANS S C
NPI 1528006277
Family Medicine in Shorewood, WI

Active since June 03, 2006
1901 E CAPITOL DR, SHOREWOOD, WI 53211(414) 962-7477(414) 962-2420 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shorewood Family Physicians S C NPPES

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

SHOREWOOD FAMILY PHYSICIANS S C (NPI 1528006277) is a healthcare organization registered as a family medicine in Shorewood, Wisconsin and active in the NPI registry since June 2006. The organization lists Jacqueline A Petruzates, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528006277
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHOREWOOD FAMILY PHYSICIANS S C
Location Address1901 E CAPITOL DRShorewood, WI 53211-2335
Mailing Address1901 E Capitol DrShorewood, WI 53211-2335 · (414) 962-7477 · Fax (414) 962-2420
Phone(414) 962-7477
Fax(414) 962-2420
Organization SubpartNo
Authorized OfficialJacqueline A PetruzatesOffice Manager · (414) 962-7477
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528006277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1901 E CAPITOL DR, Shorewood, WI 53211
Open in Google Maps ↗

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 4

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

JOHN J MILLER M.D.
Family Medicine
1901 E CAPITOL DR
SHOREWOOD, WI 53211
Milwaukee County (414) 962-7477
ADAM E. BLACKWELL M.D.
Family Medicine
1901 E CAPITOL DR
SHOREWOOD, WI 53211
Milwaukee County (414) 424-5300
KATIE CHRISTENSEN
Physician Assistant
1901 E CAPITOL DR
MILWAUKEE, WI 53211
Milwaukee County (414) 424-5300
EVELYN E BURDICK M.D.
Family Medicine
1901 E CAPITOL DR
SHOREWOOD, WI 53211
Milwaukee County (414) 962-7477

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 Shorewood Family Physicians S C's NPI number?

The NPI number for Shorewood Family Physicians S C is 1528006277. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Shorewood Family Physicians S C located?

Shorewood Family Physicians S C is located at 1901 E Capitol Dr, Shorewood, WI 53211. The listed phone number is (414) 962-7477.

What is Shorewood Family Physicians S C'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 Shorewood Family Physicians S C was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.