Active NPI
Kent L Partain, MD
- Rheumatology Physician
- Menasha, WI
National Provider Identifier
1154316560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 27754
- Practice address
- 1550 Midway PL
Menasha, WI 54952-1165 - Phone
- (920) 727-8020
- NPI assigned
- Sep 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 27754 | WI | Primary |
Addresses
Primary practice location
1550 Midway PL
Menasha, WI 54952-1165
Mailing address
1550 Midway PL
Menasha, WI 54952-1165
Phone (920) 727-8020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30732200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1154316560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 MIDWAY PL",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521165",
"telephone_number": "920-727-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 MIDWAY PL",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521165",
"telephone_number": "920-727-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTAIN",
"first_name": "KENT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WI",
"license": "27754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30732200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.