Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Third Coast Vascular SC

Organization Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · NPI 1356085104

Third Coast Vascular SC is an Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Sheboygan, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5

Practice location Address checks out

1441 N Taylor Dr
Sheboygan, WI 53081-1989
Phone: (262) 577-0250
Fax: (262) 577-0251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Taxonomy 207PE0005X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1356085104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taha Siders — Coo · (920) 797-9378
NPI enumeratedApril 26, 2022
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address1441 N Taylor Dr, Sheboygan, WI 53081-1989

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