Mayville Family Practice LLC
NPI 1154821387ActiveOrganization· Family Medicine· West Bend, WI
Family Medicine in West Bend, Wisconsin, registered in NPPES in February 2018. The authorized official on file is Charles Edward Sammis, DO, Physician/Owner.
Overview
| NPI | 1154821387 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2018 |
| Last updated in NPPES | Aug 25, 2021 |
| Certified by provider | Aug 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 48218-21 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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