James T Gariti Sr., MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

23055020 Issued in WI

Practice address

2817 New Pinery Rd
Divine Savior Healthcare Inc
Portage, WI 53901-9257

Phone

(608) 742-4131

Fax

(608) 742-6098

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1174506307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "address_2": "DIVINE SAVIOR HEALTHCARE INC",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010387",
            "telephone_number": "608-742-4131",
            "fax_number": "608-742-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "address_2": "DIVINE SAVIOR HEALTHCARE INC",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019257",
            "telephone_number": "608-742-4131",
            "fax_number": "608-742-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARITI",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "23055020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31702000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark R Frederiksen, R.PH.
• Chelsea K Fried, OTR
• Bethany C Frostman
• Michele Lynn Frystak, PTA
• Conner Funnell
• Jeffry S Goldthorpe, O.D.
• Julie Lueck Goldthorpe, O.D.
• William Scott Goldthorpe, O.D.
• Amanda Marie Goodall, PHARMD
• Heather Jane Gove, LPC

• Emergency Medicine Physician in Portage, WI
• Providers in Portage, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.