Individual provider Active NPI

Dennis R Hartung, MD

  • Obstetrics & Gynecology Physician
  • Baldwin, WI
National Provider Identifier
1124090543
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
48108 Issued in WI
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001079 WI Practitioner - Obstetrics/Gynecology 5294700027 Reassigns benefits to 4 organizations

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 IncGroup PAC ID 7911800586, shared by 3 NPIs, 88 clinicians

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

LicenseStateTypeSpecialty
4306ALMDGeneral Practice Dentistry
48108-020WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Area Medical Center Inc. CurrentSince Mar 1, 2013 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince Mar 1, 2013 Accepting new patients
Baldwin Area Medical Center, Inc. Current Accepting new patients
Ladd Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Ladd Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Fairbanks Clinic Inc Obstetrics & Gynecology PastSince Dec 13, 2020 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

  • Direct secure messaging: dennis.hartung.1@28961.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.