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Deactivated NPI 1144298878 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth J. Lisberg , MD

Surgery • Sheboygan, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Lisberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 09, 2006
NPI Deactivation Date April 23, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Lisberg, MD was a registered Surgery practicing in Sheboygan, WI. Throughout an active medical career spanning 20 years, Dr. Lisberg provided care at the practice location at 2920 SUPERIOR AVE until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

2920 Superior Ave

Sheboygan, WI 530811944

Telephone 9204524911
Fax 9204583163
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sheboygan, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Sheboygan, WI (765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 18543

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Robin Nitsch , LPN, CFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1104003623

Licensed Practical Nurse, CFA

NPI 1134142615

Doctor of Medicine (M.D.)

NPI 1295703635

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2920 SUPERIOR AVE, SHEBOYGAN, WI 530811944 (Tel: 9204524911)

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Updated Business Mailing Address July 08, 2007

Registered at 2920 SUPERIOR AVE, SHEBOYGAN, WI 530811944 (Tel: 9204524911)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH LISBERG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #18543 in WI)

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Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144298878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

2920 Superior Ave

Sheboygan, WI 530811944

Phone: 9204524911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.