Active NPI
Kathy D Hartke MD SC
- Obstetrics & Gynecology Physician
- Waukesha, WI
National Provider Identifier
1073746517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- KATHY D HARTKE MD SC
- Practice address
- 20611 Watertown Rd
Suite E
Waukesha, WI 53186-1871 - Phone
- (262) 798-1910
- Fax
- (262) 798-8660
- NPI assigned
- Sep 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Hartke, MD
- Title
- Doctor
- Phone
- (262) 798-1910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
20611 Watertown Rd
Suite E
Waukesha, WI 53186-1871
Mailing address
20611 Watertown Rd
Suite E
Waukesha, WI 53186-1871
Phone (262) 798-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31374100 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251763200000",
"number": "1073746517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20611 WATERTOWN RD",
"address_2": "SUITE E",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861871",
"telephone_number": "262-798-1910",
"fax_number": "262-798-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20611 WATERTOWN RD",
"address_2": "SUITE E",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861871",
"telephone_number": "262-798-1910",
"fax_number": "262-798-8660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHY D HARTKE MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A",
"authorized_official_last_name": "HARTKE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "262-798-1910",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31374100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.