SHEBOYGAN PEDIATRIC ASSOCIATES SC NPI 1134285182

NPI Information

  • NPI: 1134285182
  • Provider Name: SHEBOYGAN PEDIATRIC ASSOCIATES SC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 52D0388702
  • Address: 2920 SUPERIOR AVENUE
    SHEBOYGAN, WI
    ZIP 53081
  • Phone: (920) 458-3331

Map and Directions

Get Directions

NPI Details

SHEBOYGAN PEDIATRIC ASSOCIATES SC is a pediatrics in Sheboygan, WI. The provider is 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. SHEBOYGAN PEDIATRIC ASSOCIATES SC NPI is 1134285182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2920 SUPERIOR AVENUE
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 458-3331
Fax: (920) 458-1387

The provider's authorized official is William L Trager .
The authorized official title is President and has the following contact phone number (920) 458-3331.

The CLIA number assigned to this NPI record is 52D0388702 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI