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

Dr. Gregory Shoichi Ishimoto, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164681896

Dr. Gregory Shoichi Ishimoto, MD is an Emergency Medicine in Manitowoc, Wisconsin. Graduated from University of Southern California Keck School of Medicine in 2006, 20 years ago. Practices with American Specialty Physicians Group Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
20
Trained at
University of Southern California Keck School of Medicine
Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4100 Dewey St
Manitowoc, WI 54220-5497
Phone: (805) 624-0615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 56106-020 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164681896
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2008
Last updated in NPPESAugust 29, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice American Specialty Physicians Group Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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