Thomas J. Sheedy
Adolescent Medicine
2130 Big Bend Rd Prohealth Care Medical Associates Inc.
Waukesha
, Wisconsin 53189-7624
Thomas J. Sheedy
Adolescent Medicine
2130 Big Bend Rd Prohealth Care Medical Associates Inc.
Waukesha
, Wisconsin 53189-7624
(262) 513-7575
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Thomas J. Sheedy
- 2130 Big Bend Rd Prohealth Care Medical Associates Inc.
- Waukesha, WI
- Zip : 53189-7624
- Fax : (262) 513-7575
- Phone : (262) 928-7555
Second Address
- Thomas J. Sheedy
- 2130 Big Bend Rd Prohealth Care Medical Associates Inc.
- Waukesha, WI
- Zip : 53189-7624
- Fax : (262) 513-7575
- Phone : (262) 928-7555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 37781 | WI |
National Provider Identifier
| NPI | 1053383695 |
|---|---|
| Provider Name | Thomas J. Sheedy |
| First Address | Waukesha, WI 53189-7624 |
| Second Address | Waukesha, WI 53189-7624 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 09/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32237100 | (05) | WI |
| G35765 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.