DENNIS R HARTUNG (NPI# 1124090543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124090543 |
| Entity Type | Individual |
| Full Name | DENNIS R HARTUNG |
| Credential | MD |
| Practice Address |
1100 Bergslien St Baldwin WI 54002-2600 |
| Practice Telephone | 7156841111 |
| Practice Fax Number | 7156841289 |
| Mailing Telephone | 7156841111 |
| Mailing Fax Number | 7156841289 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 48108-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4306 | AL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 47509 | MN | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 48108 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34685300 | 05 |
| Street Address |
1100 BERGSLIEN ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232982 | Christopher Converse Babbitt | Psychologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2005-08-12 |
| 1568076842 | Lindsey Jae Berg | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-09-03 |
| 1558979112 | Alexandra Erickson | Occupational Therapist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-07-20 |
| 1831712355 | Nicole Lee Samudio | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-05-19 |
| 1114567633 | Claire Bartlett | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-01-13 |
| 1598308025 | Morgan A Miller | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-10-28 |
| 1508425356 | Brett Jensen | Specialist/Technologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-06-06 |
| 1053894840 | Katie Jo Carstens | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-09-08 |
| 1891277455 | Andrea Kay Burns | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-08-30 |
| 1790283265 | Kate Lynn Jones | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| 1861538472 | Susan Jayne Irek | Pharmacist | 840 Main Street, Baldwin, WI 54002 | 2007-01-30 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790826899 | Robert F Hosty | Obstetrics & Gynecology | 996 Howard Ct, Baldwin, NY 11510-5157 | 2007-02-09 |
| 1225215783 | Vernon Eugene Proctor | Obstetrics & Gynecology | 1234 Washington St, Baldwin, MI 49304-7737 | 2008-01-28 |
| 1821047309 | Steven Allen Verbeek | Obstetrics & Gynecology | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2006-05-10 |
| 1841252301 | Linda Jean Lindquist | Obstetrics & Gynecology | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508326562 | Trudy Malone | Obstetrics & Gynecology | N30w29293 Hillcrest Dr, Pewaukee, WI 53072-3235 | 2019-03-24 |
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1407218894 | Caroline Eleonora Bednarski | Obstetrics & Gynecology | 9555 76th St # 4105, Pleasant Prairie, WI 53158-1984 | 2016-03-24 |
| 1992162929 | Hudson Physicians, S.c | Obstetrics & Gynecology | 1617 E Division St Ste 100, River Falls, WI 54022-1571 | 2016-01-21 |
| 1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
| 1063809416 | Tyler Boschuetz | Obstetrics & Gynecology | 19475 W North Ave Ste 400, Brookfield, WI 53045-4199 | 2015-04-23 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1659766277 | Brandon Kuchta | Obstetrics & Gynecology | 8905 W Lincoln Ave Ste 501, West Allis, WI 53227-2470 | 2015-03-31 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.