Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Paddock Lake Family Practice, Sc

Family Medicine Physician in Salem, WI · enumerated 2006 · authorized official Lisa Thomas, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417919275

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Registry record

Entity type Organization (Type 2)

Legal business name Paddock Lake Family Practice, Sc

Practice address 7137 236th Ave, Suite 103, Salem, WI, 53168

Phone (262) 843-4422

Fax (262) 843-1166

Enumeration date Apr 5, 2006

Last updated in NPPES Apr 20, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lisa Thomas

Title Billing Manager

Phone (262) 843-2394

Other identifiers

Identifier	Type	State	Issuer
DD7478	Other	-	RAIL ROAD MEDICARE
21291800	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-20. Verify at npiregistry.cms.hhs.gov.

Where is Paddock Lake Family Practice, Sc located?

The practice location on file with NPPES is in Salem, WI.

Providers at this address

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Leigh Ann Miller Occupational Therapist · Salem, WI NPI 1639459886 Ginger Randolph Family Nurse Practitioner · Salem, WI NPI 1508428707 Olivine, S.C. Medical Specialty Clinic/Center · Salem, WI NPI 1851007132

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.