Active NPI
Beth A Schenck, MD
- Dermatology Physician
- Germantown, WI
National Provider Identifier
1295744662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 24254
- Practice address
- N112W15415 Mequon Rd
Germantown, WI 53022-3410 - Phone
- (262) 255-2112
- Fax
- (262) 255-6533
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 24254 | WI | Primary |
Addresses
Primary practice location
N112W15415 Mequon Rd
Germantown, WI 53022-3410
Mailing address
788 N. Jefferson Street
Suite 300/ Attn. Kaaren Butzen
Milwaukee, WI 53202-3710
Phone (414) 272-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295744662 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Medical Affiliates, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Milwaukee, WI
- NPI 1588695746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1295744662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 N. JEFFERSON STREET",
"address_2": "SUITE 300/ ATTN. KAAREN BUTZEN",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023710",
"telephone_number": "414-272-8950",
"fax_number": "414-272-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N112W15415 MEQUON RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223410",
"telephone_number": "262-255-2112",
"fax_number": "262-255-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENCK",
"first_name": "BETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "24254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295744662",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.