INTERNAL MEDICINE & PEDIATRICS, S.C. – NPI #1770558066
Pediatrics

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.

INTERNAL MEDICINE & PEDIATRICS, S.C. is a provider located in FORT ATKINSON, WI. NPPES has assigned the NPI number 1770558066 to INTERNAL MEDICINE & PEDIATRICS, S.C. on February 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERNAL MEDICINE & PEDIATRICS, S.C. below.

NPI Profile for
INTERNAL MEDICINE & PEDIATRICS, S.C.

NPI Number
1770558066
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERNAL MEDICINE & PEDIATRICS, S.C.
Primary location
500 MCMILLEN ST
FORT ATKINSON, WI 53538-1233
Phone: (920) 563-7711 Fax: (920) 563-7705
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THERESANNE JOHNSON
OFFICE MANAGER
Phone: (920) 563-7711
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.