# ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
- **Other names:** Prevea Sheboygan Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275799413
- **Legal business name:** ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
- **Authorized official:** MR. JOHN WAGNER (MARKET COO)
- **Authorized official phone:** (920) 496-4700

## Contact information

- **Practice address:** 3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
- **Practice address phone:** (920) 496-4700
- **Mailing address:** PO BOX 19070, GREEN BAY, WI 54307-9070
- **Mailing address phone:** (920) 496-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WI | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | WI | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | WI | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 08/06/2008
- **Last updated:** 11/21/2025