NPI Code Details Logo

NPI 1285261552

NPI 1285261552 : JONATHAN SCHEEL : GREEN BAY, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285261552
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JONATHAN SCHEEL
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/25/2020
-----------------------------------------------------
    Last Update Date     |    01/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2845 GREENBRIER RD 
-----------------------------------------------------
    City                 |    GREEN BAY
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    54311-6519
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    920-288-8000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 735044 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60673-5044
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-326-2250
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    80110-21
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    80110
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.