SHEBOYGAN REGIONAL ONCOLOGY CENTER LTD. NPI 1730170283

NPI Information

  • NPI: 1730170283
  • Provider Name: SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 1222 N 23RD ST
    SHEBOYGAN, WI
    ZIP 53081
  • Phone: (920) 457-6800

Map and Directions

Get Directions

NPI Details

SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD. is a radiation oncology radiology in Sheboygan, WI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD. NPI is 1730170283. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1222 N 23RD ST
SHEBOYGAN, WI
ZIP 53081-171
Phone: (920) 457-6800
Fax: (920) 457-6824

The provider's authorized official is Donna Larue .
The authorized official title is Office Manager and has the following contact phone number (920) 457-6750.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 4/20/2008.

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
12085R0203XRadiologyTherapeutic RadiologyNo
22085R0001XRadiologyRadiation OncologyYes

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
1=========013OTHERWISCONSINBLUE CROSS & BLUE SHIELD
2CH3854OTHERWISCONSINRAILROAD MEDICARE
332719000MEDICAIDWISCONSIN
460165MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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

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