Shorewood Family Medical Clinic S.c.
NPI 1770644346 · Family Medicine Physician · Kenosha, WI
Shorewood Family Medical Clinic S.c. is a Family Medicine Physician organization in Kenosha, WI (NPI 1770644346).
Provider details
- NPI number
- 1770644346
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Hubbard, President(262) 652-5454
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shorewood Family Medical Clinic S.c.'s NPI number?
- Shorewood Family Medical Clinic S.c.'s National Provider Identifier (NPI) is 1770644346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shorewood Family Medical Clinic S.c.?
- Shorewood Family Medical Clinic S.c. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shorewood Family Medical Clinic S.c. located?
- Shorewood Family Medical Clinic S.c.'s practice location on file with NPPES is 4400 Sheridan Rd, Kenosha, WI 53140-5747.
- What is Shorewood Family Medical Clinic S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Shorewood Family Medical Clinic S.c. is (262) 652-5454.
- Who is the authorized official for Shorewood Family Medical Clinic S.c.?
- The authorized official listed on Shorewood Family Medical Clinic S.c.'s NPPES record is Timothy Hubbard, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shorewood Family Medical Clinic S.c.'s NPI active?
- Yes — Shorewood Family Medical Clinic S.c.'s NPI (1770644346) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.