Active NPI
Kathryn Ann Hartmann, M.D.
- Internal Medicine Physician
- Wauwatosa, WI
National Provider Identifier
1093890717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 51075020
- Practice address
- 1155 N Mayfair Rd
Wauwatosa, WI 53226-3421 - Phone
- (414) 456-5990
- Fax
- (414) 456-6282
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51075020 | WI | Primary |
| Internal Medicine Physician | 207R00000X | 51075 | WI |
Addresses
Primary practice location
1155 N Mayfair Rd
Wauwatosa, WI 53226-3421
Mailing address
1155 N Mayfair Rd
Wauwatosa, WI 53226-3421
Phone (414) 456-5990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093890717 | Medicaid | WI |
Other names 1
- Kathryn Ann Webber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51075020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1093890717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263421",
"telephone_number": "414-456-5990",
"fax_number": "414-456-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263421",
"telephone_number": "414-456-5990",
"fax_number": "414-456-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "51075020",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "51075",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093890717",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "WEBBER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.