NPIMap

Organization Active NPI

Wendy S Bartanen MD, PC

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1114126331
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20119 Issued in OK
Legal business name
WENDY S BARTANEN MD, PC
Doing business as
Eastside Clinic
Practice address
1102 SE 36TH St
Lawton, OK 73501-8462
Phone
(580) 351-2278
Fax
(580) 353-0462
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Wendy S Bartanen, MD, PC
Title
President
Phone
(580) 351-2278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20119 OK Primary

Addresses

Primary practice location

1102 SE 36TH St
Lawton, OK 73501-8462

Mailing address

1102 SE 36TH St
Lawton, OK 73501-8462
Phone (580) 351-2278

Other names 1

  • Eastside Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1114126331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SE 36TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735018462",
            "telephone_number": "580-351-2278",
            "fax_number": "580-353-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SE 36TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735018462",
            "telephone_number": "580-351-2278",
            "fax_number": "580-353-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY S BARTANEN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "BARTANEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-351-2278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.