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LAKE COUNTRY PRIVATE MEDICAL, S.C.
NPI 1720351919
Internal Medicine in Oconomowoc, WI

Active since February 17, 2012
1185 CORPORATE CENTER DR STE 300, OCONOMOWOC, WI 53066(262) 567-5190(262) 567-5259 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Country Private Medical, S.c. NPPES

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

LAKE COUNTRY PRIVATE MEDICAL, S.C. (NPI 1720351919) is a healthcare organization registered as an internal medicine in Oconomowoc, Wisconsin and active in the NPI registry since February 2012. The organization lists Patrick T Fitzgerald, Owner, as its authorized official.

NPPES Registry Identity

NPI1720351919
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE COUNTRY PRIVATE MEDICAL, S.C.
Location Address1185 CORPORATE CENTER DR STE 300Oconomowoc, WI 53066-4887
Mailing Address1185 Corporate Center Dr Ste 300Oconomowoc, WI 53066-4887 · (262) 567-5190 · Fax (262) 567-5259
Phone(262) 567-5190
Fax(262) 567-5259
Organization SubpartNo
Authorized OfficialPatrick T FitzgeraldOwner · (262) 567-5190
Enumeration DateFebruary 17, 2012
Last NPPES UpdateMay 18, 2012
✔ NPI 1720351919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 48412
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.
1185 CORPORATE CENTER DR STE 300, Oconomowoc, WI 53066
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Other Identifiers 1

Medicare UPINH93315

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 2

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

KAREN MAURER PA-C
Physician Assistant
1185 CORPORATE CENTER DR STE 300
OCONOMOWOC, WI 53066
Waukesha County (888) 938-3838
MS. TIFFANY L FONTAINE PA-C
Physician Assistant
1185 CORPORATE CENTER DR STE 300
OCONOMOWOC, WI 53066
Waukesha County (414) 771-6780

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 Lake Country Private Medical, S.C.'s NPI number?

The NPI number for Lake Country Private Medical, S.C. is 1720351919. It was assigned to this organization in the NPPES registry on February 17, 2012.

Where is Lake Country Private Medical, S.C. located?

Lake Country Private Medical, S.C. is located at 1185 Corporate Center Dr Ste 300, Oconomowoc, WI 53066. The listed phone number is (262) 567-5190.

What is Lake Country Private Medical, S.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Country Private Medical, S.C. was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.