SHAWN THOMAS SEDGWICK MD NPI 1679559298

NPI Information

  • NPI: 1679559298
  • Provider Name: SHAWN THOMAS SEDGWICK, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1836 SOUTH AVE
    LA CROSSE, WI
    ZIP 54601
  • Phone: (608) 782-7300

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NPI Details

Shawn Thomas Sedgwick, MD is a family medicine in La Crosse, WI. The provider is 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. Shawn Thomas Sedgwick, MD NPI is 1679559298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601-429
Phone: (608) 782-7300

The NPI 1679559298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 2/19/2024.

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
1207Q00000XFamily Medicine5163ALASKANo
2207Q00000XFamily Medicine38787-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15163OTHERALASKAAK STATE LICENSE
2001063025OTHERWISCONSINMEDICARE
3MD9374MEDICAIDALASKA
438787-020OTHERWISCONSINSTATE OF WISCONSIN LICENSE
532362200MEDICAIDWISCONSIN
6005300461OTHERWISCONSINMEDICARE

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: 3/30/2025

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