SHOREWOOD FAMILY MEDICAL CLINIC S.C.
NPI 1770644346
Family Medicine in Kenosha, WI

Q: What is Shorewood Family Medical Clinic S.C.'s NPI number?

The NPI number for Shorewood Family Medical Clinic S.C. is 1770644346. It was assigned to this organization in the NPPES registry on December 13, 2006.

Q: What is Shorewood Family Medical Clinic S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 13, 2006

4400 SHERIDAN RD, KENOSHA, WI 53140(262) 652-5454(262) 652-5732 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shorewood Family Medical Clinic S.c. NPPES

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

SHOREWOOD FAMILY MEDICAL CLINIC S.C. (NPI 1770644346) is a healthcare organization registered as a family medicine in Kenosha, Wisconsin and active in the NPI registry since December 2006. The organization lists Timothy Michael Hubbard, President, as its authorized official.

NPPES Registry Identity

NPI1770644346

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSHOREWOOD FAMILY MEDICAL CLINIC S.C.

Location Address4400 SHERIDAN RDKenosha, WI 53140-5747

Mailing Address4400 Sheridan RdKenosha, WI 53140-5747 · (262) 652-5454 · Fax (262) 652-5732

Phone(262) 652-5454

Fax(262) 652-5732

Organization SubpartNo

Authorized OfficialTimothy Michael HubbardPresident · (262) 652-5454

Enumeration DateDecember 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1770644346 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.

4400 SHERIDAN RD, Kenosha, WI 53140

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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

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

TIMOTHY MICHAEL HUBBARD D.O.

Family Medicine

4400 SHERIDAN RD
KENOSHA, WI 53140

Kenosha County (262) 652-5454

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 Medical Clinic S.C.'s NPI number?

The NPI number for Shorewood Family Medical Clinic S.C. is 1770644346. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Shorewood Family Medical Clinic S.C. located?

Shorewood Family Medical Clinic S.C. is located at 4400 Sheridan Rd, Kenosha, WI 53140. The listed phone number is (262) 652-5454.

What is Shorewood Family Medical Clinic 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 Medical Clinic 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.