Individual provider Active NPI

Carolyn A Haerr, MD

  • Diagnostic Radiology Physician
  • Fitchburg, WI
National Provider Identifier
1033188032
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43687 Issued in WI
Practice address
5680 Whalen Rd
Fitchburg, WI 53575-1934
Phone
(608) 215-4443
NPI assigned
Mar 14, 2006
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 43687 WI Primary

Addresses

Primary practice location

5680 Whalen Rd
Fitchburg, WI 53575-1934

Mailing address

5680 Whalen Rd
Fitchburg, WI 53575-1934

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chaerr15552@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000917 WI Practitioner - Diagnostic Radiology 7517954316 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince Mar 3, 2010 Accepting new patients
Fort Healthcare Inc CurrentSince Jan 18, 2010 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jan 18, 2010 Accepting new patients
Indianapolis Breast Center, PC Diagnostic Radiology Past Accepting new patients
Solis Women's Health Breast Imaging Specialists of Indiana, PC Past Accepting new patients

Locations

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • Direct secure messaging: chaerr15552@direct.uwhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1033188032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 WHALEN RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "535751934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 WHALEN RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "535751934",
            "telephone_number": "608-215-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERR",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "43687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chaerr15552@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "202 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.