Active NPI
Dennis R Hartung, MD
- Obstetrics & Gynecology Physician
- Baldwin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 48108
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (715) 684-1111
- Fax
- (715) 684-1289
- NPI assigned
- Feb 2, 2006
- Last updated
- Dec 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 48108-020 | WI | |
| Obstetrics & Gynecology Physician | 207V00000X | 4306 | AL | |
| Obstetrics & Gynecology Physician | 207V00000X | 47509 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | 48108 | WI | Primary |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhartung94523@excellian.direct.allina.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Area Medical Center Inc
Practice addresses (Care Compare)
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4306 | AL | MD | General Practice Dentistry |
| 48108-020 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Area Medical Center Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Fairbanks Clinic Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Amy E Johnson-Grass | Past | Accepting new patients | |
| Tanana Chiefs Conference | Past | Accepting new patients |
Locations
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
Interoperability endpoints
- dennis.hartung.1@28961.direct.athenahealth.com
- dhartung94523@excellian.direct.allina.com
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.
-
dba Western Wisconsin Health
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
-
dba Osceola Medical Center
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
dba Western Wisconsin Health Spring Valley Clinic
- Clinic/Center
- Spring Valley, WI
- NPI 1164272324
-
dba Western Wisconsin Health
- Rural Health Clinic/Center
- Baldwin, WI
- NPI 1336228865
-
dba Osceola Medical Center Osceola Clinic
- Rural Health Clinic/Center
- Osceola, WI
- NPI 1801394549
-
dba Twin Cities Birth Center
- Birthing Clinic/Center
- Saint Paul, MN
- NPI 1649593716
-
- Ambulatory Surgical Clinic/Center
- Fairbanks, AK
- NPI 1871332387
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Western Wisconsin Health
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1124090543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BERGSLIEN ST",
"city": "BALDWIN",
"state": "WI",
"postal_code": "540022600",
"telephone_number": "715-684-1111",
"fax_number": "715-684-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BERGSLIEN ST",
"city": "BALDWIN",
"state": "WI",
"postal_code": "540022600",
"telephone_number": "715-684-1111",
"fax_number": "715-684-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTUNG",
"first_name": "DENNIS",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "48108-020",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "4306",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "47509",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "48108",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhartung94523@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "1100 Bergslien St",
"city": "Baldwin",
"state": "WI",
"country_code": "US",
"postal_code": "540022600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baldwin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.