Provider Demographics
NPI:1306899687
Name:SCHAPER, AYSHA L (MD)
Entity type:Individual
Prefix:DR
First Name:AYSHA
Middle Name:L
Last Name:SCHAPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 S SUNNY SLOPE RD
Mailing Address - Street 2:SUNNYSLOPE PRIMARY CARE CLINIC
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-7025
Mailing Address - Country:US
Mailing Address - Phone:414-805-9600
Mailing Address - Fax:414-805-9659
Practice Address - Street 1:1350 S SUNNY SLOPE RD
Practice Address - Street 2:SUNNYSLOPE PRIMARY CARE CLINIC
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-7025
Practice Address - Country:US
Practice Address - Phone:414-805-9600
Practice Address - Fax:414-805-9659
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI39858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1306899687Medicaid
WI736012099Medicare PIN
WI025768086Medicare PIN
G31949Medicare UPIN