INTERNAL MEDICINE & PEDIATRICS, S.C.
NPI 1770558066
Pediatrics in Fort Atkinson, WI

Active since February 21, 2006
500 MCMILLEN ST, FORT ATKINSON, WI 53538(920) 563-7711(920) 563-7705 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Internal Medicine & Pediatrics, S.c. NPPES

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

INTERNAL MEDICINE & PEDIATRICS, S.C. (NPI 1770558066) is a healthcare organization registered as a pediatrics in Fort Atkinson, Wisconsin and active in the NPI registry since February 2006. The organization lists Theresanne Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770558066
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameINTERNAL MEDICINE & PEDIATRICS, S.C.
Location Address500 MCMILLEN STFort Atkinson, WI 53538-1233
Mailing Address500 Mcmillen StFort Atkinson, WI 53538-1233 · (920) 563-7711 · Fax (920) 563-7705
Fax(920) 563-7705
Organization SubpartNo
Authorized OfficialTheresanne JohnsonOffice Manager · (920) 563-7711
Enumeration DateFebruary 21, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1770558066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X

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

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Pediatrics
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Pediatrics
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Social Worker
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Pediatrics
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Internal Medicine
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Counselor (Professional)
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Internal Medicine
500 MCMILLEN ST
FORT ATKINSON, WI 53538

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 Internal Medicine & Pediatrics, S.C.'s NPI number?

The NPI number for Internal Medicine & Pediatrics, S.C. is 1770558066. It was assigned to this organization in the NPPES registry on February 21, 2006.

Where is Internal Medicine & Pediatrics, S.C. located?

Internal Medicine & Pediatrics, S.C. is located at 500 Mcmillen St, Fort Atkinson, WI 53538. The listed phone number is (920) 563-7711.

What is Internal Medicine & Pediatrics, S.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Internal Medicine & Pediatrics, S.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.