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

Thrivemed, SC

Organization Internal Medicine Physician · NPI 1336957711

Thrivemed, SC is an Internal Medicine Physician in Mequon, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

11501 N Port Washington Rd Ste G-30
Mequon, WI 53092-3483
Phone: (262) 643-4900
Fax: (262) 643-4901
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Pharmacy Taxonomy 333600000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1336957711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Reigle — Nurse Practitioner · (262) 643-4900
NPI enumeratedDecember 18, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address11501 N Port Washington Rd Ste G-30, Mequon, WI 53092-3483

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