OrganizationActive
Solidaritus Health Wisconsin Sc
NPI 1861240103 · Family Medicine Physician · Sheboygan, WI
Provider details
- NPI number
- 1861240103
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Solidaritus Health Wisconsin Sc
- Organization subpart
- Yes
- Authorized official
- Lakeisha Flores, Chief Operating Officer(804) 304-6764
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
615 Pennsylvania Ave Ste 3
Sheboygan, WI 53081-4664
Phone: (920) 547-4210
Fax: (800) 671-5786
Street-level locationGet directions
Mailing address
1025 Connecticut Ave Nw Ste 907
Washington, DC 20036-5434
Other names (DBA / former)
- Other name
- Solidaritus Health Sheboygan
- Other name
- Solidaritus Health Sheboygan
Registry dates
- Enumerated
- 2024-05-10
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.